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Era <br /> UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 6119' k) I 5-- {37-1 (01-1- C I. 1 bbA-- 32G1 (425)257-8810 <br /> PERMIT NUMBER U1904-03{4 b k c Off I iak-0 Q ti D95 DATE <br /> JOB ADDRESS 4610 31ST AVE SE '67,06)..? 1 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 CONTRACTOR POLYGON WLH LLC <br /> BELLEVUE WA 98005 11624 SE 5TH ST <br /> BELLEVUE WA 98005 <br /> PHONE 4255867700 <br /> PHONE 4255867700 <br /> I WATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OFUNITS SERVICE ORDER NQ APPLICATION NQ <br /> 3/4" SFR 0.00 SO-14412 I APP-19398 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE ..97e #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. 82 BACKFLOW DEVICE SERIAL NO. <br /> BRAND P9.1 MODEL NO. <br /> METER ISTALLATIG1 DATE BY V / <br /> WATER ON wig ye BY TSG <br /> 3/4"METER ONLY z—,„7 / IIIIIAl111111111111111111III <br /> REMARKS: "`777 1563709000 / / I ! ?L- <br /> critz- <br /> ISEWER SERVICE I <br /> PERMIT NO. SP 18005 PERMIT TYPE NEW CONNECTION I LID NO. <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: <br /> I DATE <br /> I FEES <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENT FEE SEWEF $5,121.00 '.t.-' <br /> MAY e 1 2O 9 <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 LI i <br /> WATER UTILITY FEE $520.00 <br /> i:. 9 it' 'ti?P9 }J3 ITT <br /> Perm it Services <br /> TOTAL FEES $9,668.00 <br /> PERMIT NUMBER U1904-034 <br /> UTILITY BILLING COPY <br />