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UTILITIES CITY OF EVERETT <br /> , �' PERMIT SERVICES <br /> PERMIT <br /> 3200 CEDAR STREET <br /> AC A'� ^�/9��,{ j r { I EVERETT,WA 98201 <br /> O - ' w l i .... F T .x mac.".�; <br /> .._J (425)257-8810 <br /> PERMIT NUMBER U1901-031 DATE <br /> JOB ADDRESS 4604 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 I <br /> SERVICE SIZE I SERVICE TYPEFRONTAGE NO.OF UNITS SERVICE ORDER NQ APPLICATION NO <br /> 3/4" SFR I <br /> 1 0.00 SO-14367APP-19351 <br /> APP <br /> Sh i IEN INSTALLATION} DATE <br /> E 7 BY <br /> METER NO. L >W 2. wee 1ng SIZE 5.-",)g- <br /> RI BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. 1 5'�``U'',,. ;`'�3 i Vi-.CI 9 1 S? In BACKFLOW DEVICE SERIAL NO. <br /> N BRAND N VJ-9s7 'LC-, <br /> r �j / MODEL NO <br /> - <br /> METER ISTALLATION DATE Q 26L-L /BY � /I312 -J.2 <br /> WATER ON .'OFF_ [ <br /> LOCKED OUT BY t.2{ TSG <br /> 3/4"METER <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT No. SP-17935 PERMIT 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 SEWER CONNECTION <br /> INSPECTED BY: I DATE <br /> • <br /> IFEES I <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENT FEE SEWEI $5,121.00 az Ill <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 <br /> WATER UTILITY FEE $520.00 <br /> MAR 142019 <br /> CITY OF EVERETT. <br /> TOTAL FEES $9,668.00 Permit Sery ices <br /> IPERMIT NUMBER U1901-031 <br /> UTILITY BILLING COPY <br />