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UTILITIES CITY OF EVERETT <br /> /1111P#14/P6 :7 „... .,„,-.104,- PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> €° <br /> r r 0 EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1901-029 DATE <br /> JOB ADDRESS 4528 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 CONTRACTOR POLYGON WLH LLC <br /> WA 98005 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 NQ APPLICATION NQ <br /> I <br /> 3/4" SFR 0.00 SO-14365 I APP-19349 <br /> SETTER Fd INSTALLATIONyDATE BY <br /> METER NO. 1 c5 6a-O `..2,iCH .��{) SME 5/ NI BACKFLOW DEVICE SERIAL NO. <br /> R .NO. 1 6L 1 y "}9 (�d!J <br /> A 82 BACKFLOW DEVICE SERIAL NO. <br /> BRAND p�/ Al.,,.0102. <br /> (� [g, j MODEL NO. <br /> METER ISTALLATION DATE CS'�L0 g 41 BY 1j • <br /> y',F <br /> WATER ON OFF LOCKED OUT BY It i/ <br /> TSG <br /> 3/4"METER ONLY <br /> REMARKS: <br /> 1 SEWER SERVICE <br /> 1 <br /> IPERMIT NO. SP-17933 <br /> 'TYPE NEW CONNECTION 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 CONNECTION <br /> INSPECTED BY: I DATE <br /> IFEES <br /> SEWER UTILITY FEE $70.00 3 a till®D <br /> SYSTEM DEVELOPMENT FEE SEWEF $5,121.00 <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 <br /> WATER UTILITY FEE $520.00 MAR 14 2019 <br /> CITY OF EVERETT <br /> TOTAL FEES Permit Services <br /> $9,668.00 <br /> IPERMIT NUMBER U1901-029 I <br /> UTILITY BILLING COPY <br />