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MUM <br /> tai <br /> UTILITIESCITY OF EVERETT <br /> EVERETT 7� PERMIT SERVICES <br /> WASHINGTON PERMIT M <br /> 1 l 3200 CEDAR STREET <br /> EVERETT WA 98201 010/ U� v PD Ciisk mtL 1,04— 00c- (425)257-8810 <br /> PERMIT NUMBER U1904-030 (,Q BL0.5q <br /> I CeA -76 I s DATE <br /> JOB ADDRESS 4618 31ST AVE SE 9,i26.. 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 /> WATER SERVICE I <br /> SERVICE SIZE I SERVICE TYPE l FRONTAGE NO.OF UNITS SERVICE ORDER NQ APPLICATION NO <br /> 3/4" SFR 0.00 SO-14408 APP-19394 <br /> SETTER INSTALLATION DATE BY �j/ <br /> METER NO. SIZE ✓ `JO #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> IL"," <br /> BRAND /L" //�'�J, MODEL NO. <br /> METER ISTALLATION DATE /44t...../�' / BY YZ� <br /> WATER O�N,Ji`/,O7 LOCKED OUT BY TSG <br /> x "3/4'METER ONLY , C 6z d <br /> REMARKS: � ma . <br /> mm�unnunnm j" L OL 13 1 <br /> s <br /> X15636304,6 ` <br /> ISEWER SERVICE I <br /> PERMIT NO. SP-18001 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 FEEC <br /> $70.00 Z3 furl r=., <br /> t i <br /> SYSTEM DEVELOPMENT FEE SEWEE $5,121.00 29 <br /> 19 <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 °�` � MAY - 1 20 <br /> WATER UTILITY FEE $520.00 Cie(, <br /> a. <br /> 4, CITY OPE VE <br /> R <br /> CC ,.9 Permit Servi N. <br /> ces <br /> TOTAL FEES $9,668.00 <br /> • I PERMIT NUMBER U1904-030 I <br /> UTILITY BILLING COPY <br />