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UTILITIES CITY OF EVERETT <br /> PERMITERVI <br /> S CES <br /> /111111 --'A <br /> s* PERMIT 3200 CEDAR STREET <br /> Ccr\`V1Z l tl' T �.(�C�"C 52:7EVE(RE5 257 8810 98201A <br /> PERMIT NUMBER U1903 005 eA-A Q.,.CA Q,y,brjoitc f 5 6 DATE <br /> JOB ADDRESS 4614 31ST AVE SE q E-203 LEGAL DESCRIPTION <br /> DESCRIPTION NEW 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 /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NQ <br /> 3/4" SFR 0.00 SO-14405 APP-19391 <br /> SETTER INSTALLATION DATE BY /�jj <br /> METER NO. SIZE )c 1r/' #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND I � 9z6.-." <br /> (-/ MODEL NO. <br /> METER ISTALLATION rI fl 10 / r 1/ BY �z <br /> WATER ON �//OFF LOCKED OUT BY TSG <br /> N� 4° 4"METER ONLY • <br /> REMARKS: �y �� <br /> J✓'Z 1150727048__ll®11111111111 , • <br /> `,�rC7 /�Z' <br /> / /" c1/� I,c `�' se- <br /> SEWER SERVICE s <br /> PERMIT NO. SP-17998 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 /> • <br /> NEW CONNECTION <br /> INSPECTED BY: I DATE <br /> FEES <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENTFEESEWEF $5,121.00 <br /> S <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 P az a 9 , <br /> WATER UTILITY FEE $520.00 MAY <br /> 2 I g <br /> CK 3 MAY - 12019 0 <br /> TOTAL FEES $9,668.00 CC <br /> CITY OF E. , <br /> rr <br /> `1:11.,:::,.e v Id.;y <br /> I PERMIT NUMBER U1903-005 <br /> UTILITY BILLING COPY <br />