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mom <br /> -•: UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 'PoA (� { pt <br /> !, r a 3200 CEDAR STREET <br /> on� l�lsk(\.,� `-G l 1 L�-�2�(�EV(RE55)T257-8810 98201,WA <br /> PERMIT NUMBER U1904-028 (c. Ug 1 "059 15 n o L DATE: D <br /> JOB ADDRESS 4612 31ST AVE SE g8tt2 /. . 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 /> CONTRACTOR <br /> BELLEVUE WA 98005 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 ND APPLICATION NQ <br /> I <br /> 3/4" SFR 0.00 SO-14406 I APP-19392 <br /> SETTER INSTALLATION DATE BY /� <br /> METER NO. SIZE /C� El BACKFLOW DEVICE SERIAL NO. <br /> RANO. 02 BACKFLOW DEVICE SERIAL NO. <br /> BRAND 1 MODEL NO. <br /> METER ISTALLATTOB.DATE/C9 ''~i?BY <br /> WATER ON_ oyF� yocx>�a ovr BY TSG <br /> i <br /> 3/4"M%11.'- ER ONLY / /...'"-ec.4...%.....1y � <br /> REMARKS: �r � <br /> IIIIIYI1191u1111111H11111 <br /> 1563704862 ( ?v—� <br /> ISEWER SERVICE I <br /> PERMIT NO. SP-17999 PERMITTYPE 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 I <br /> SEWER UTILITY FEE $70.00 ` <br /> -O. L <br /> SYSTEM DEVELOPMENT FEE SEWEI $5,121.00 <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 <br /> WATER UTILITY FEE $520.00 MY 0 2 203 LI MAY ® 1 2019 <br /> B CK CITY OF EVERETT <br /> CC $ Permit Services <br /> TOTAL FEES $9,668.00 <br /> IPERMIT NUMBER U1904-028 <br /> UTILITY BILLING COPY <br />