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Nom <br /> ■ UTILITIES CITY OF EVERETT <br /> EVERETT A PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 3200 CEDAR STREET <br /> 8/ �R\ CIM <br /> f\ l I 2 EVERETT,WA 98201 <br /> \) '� 'A\C \ l �,cT �%� `(,V V 1l - - ��- ;2A (425)257-8810 <br /> PERMIT NUMBER U196-033 0_i13g. e \� 'O b DATE <br /> JOB ADDRESS 4620 31ST AVE SE 9' 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 /> IWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NQ APPLICATION NQ <br /> 3/4" SFR 0.00 S014411 APP-19397 <br /> 5h 11 ER INSTALLATION DATE BY �/j'r� <br /> METER NO. SIZE /[/ ,1 BACKFLOW DEVICE SERIAL NO. <br /> RF.NO. R2 BACKFLOW DEVICE SERIAL NO, <br /> � <br /> BRAND 4.. / MODEL NO. <br /> METER ISTALLATION DATE i0---,'1/Q�BY <br /> WATER ON OFF <br /> _ LOCKED OUT BY - TSG <br /> i'.414-3 METER ONLY <br /> REMARKS: <br /> ✓ -15631685665 <br /> ISEWER SERVICE I <br /> PERMIT NO. SP-18004 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 /> NEW SEWER CONNECTION <br /> INSPECTED BY: I DATE <br /> IFEES I <br /> • <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENT FEE SEWEF $5,121.00 i j J ,-� <br /> 3,Fes,1 1 9_ <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 SC ___ �� i " <br /> WATER UTILITY FEE $520.00 <br /> NAY :116 11111,! MAY 1 2019 <br /> pry} . —� <br /> TOTAL FEES $9,668.00 t CIT Y F 97F'2�*Ea �' <br /> inr,, Permit sem?`.! mes <br /> I PERMIT NUMBER U1904-033 <br /> I <br /> UTILITY BILLING COPY <br />