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UTILITIES Fk <br /> f r CITY OF EVERETT <br /> 41 , PERMIT SERVICES <br /> PERMITa <br /> y� ' i 5 �� a 3200 CEDAR STREET <br /> `C. C. —7.1? EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1901-010 DATE <br /> JOB ADDRESS 4526 31ST AVE SE LEGAL DESCRIPTION <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION APN: <br /> OWNER POLYGON WLH LLC TENANT OVERLOOK AT RIVERFRONT <br /> 11624 SE 5TH ST SUITE 100 <br /> BELLEVUE WA 98005 CONTRACTOR POLYGON WLH LLC <br /> 11624 SE 5TH ST <br /> BELLEVUE WA 98005 <br /> PHONE 4255867700 <br /> PHONE 4255867700 <br /> IWATER SERVICE <br /> SERVICE SIZE I SERVICE TYPE I FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NQ <br /> 3/4" SFR 0.00 SO-14355 APP-19339 <br /> SETTER INSTALLATION DATE (( )�^� BY /{ <br /> METER NO. PPl. ?_* 2. t,,0/236, S� `-5 J #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. a (C 3 Y cS.0 r' d <br /> A, 82 BACKFLOW DEVICE SERIAL NO. <br /> BRAND I V e1 Oji- MODEL NO. <br /> METER ISTALLATION DATE `L.. "l.c/ BY /Pi <br /> WATER ON__Y OFF LOCKED OUT BY Ai 41 j TSG <br /> 3/4"WATER SERVICE <br /> REMARKS: <br /> ISEWER SERVICE I <br /> PERMIT NO. SP-17916 PERMIT TYPE NEW CONNECTION I LID NO. I <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> NEW SEWER CONNECTION <br /> INSPECTED BY: I DATE <br /> IFEES I <br /> SEWER UTILITY FEE $70.00 "')(` ` b , <br /> SYSTEM DEVELOPMENT FEE SEWEF ' <br /> $5,121.00-- �p� �1 i d Li1---- , , , , <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 <br /> WATER UTILITY FEE $520.00 JAN2O L i <br /> CITY OF E VER <br /> TOTAL FEES $9,668.00 <br /> Perm it .°`e vkv a <br /> IPERMIT NUMBER U1901-010 I <br /> UTILITY BILLING COPY <br />