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CITY OF EVERETT <br /> am UTILITIES <br /> E V E R E T T T PERMIT SERVICES <br /> WASHINGTON PERMIT ' <br /> 1 1 3200 CEDAR STREET <br /> EVERETT;WA 98201 <br /> ill\ .,(1/4:4c. 1-)'251 l e 0 X 1 rid - 5- 'a Lo,Ar "`j- (425)257-8810 <br /> PERMIT NUMBER U1907-026 _, i ' la.f.5DATE <br /> JOB ADDRESS 4612 RIVERFRONT BLVD t, -r LEGAL DESCRIPTION <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM DE APN. <br /> OWNER POLYGON WLH LLC TENANT OVERLOOK TRIVERFRONT <br /> 11624 SE 5TH ST <br /> CONTRACTOR POLYGON WL LLC <br /> BELLEVUE WA 98005 <br /> 11624 SE5TH ST Q <br /> BELLEVUE WA 98005 <br /> PHONE 4255867700 <br /> PHONE 4255867700 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICEORDERNO. APPLICATION NO <br /> 3/4" SFR 0.00 SO-14466 APP-19452 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE al) #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. �y�J1f #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND /-y M MODEL NO. <br /> METER ISTAALLAA,T✓✓FFIO((I,/I�}DATE /�`[ ®�I®�BY y dr /�' <br /> WATER ON(�6"O LOC D KE OUT BY TSG <br /> 3/4"METER ONLY <br /> REMARKS .� <br /> ��.°.1‘.../ 11111111111T 11111111 <br /> �564783 1111172 I k _ <br /> SEWER SERVICE <br /> PERMIT NO. SP-18103 PERMIT TYPE NEW CONNECTION LID NO. <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per Eme 14.08.260 <br /> NEW SEWER CONNECTION <br /> INSPECTED BY: I DATE <br /> IFEES <br /> SEWER UTILITY FEE <br /> $70.00 <br /> SYSTEM DEVELOPMENT FEE SEWEF $5,121.00 .aL, <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 „.1.� <br /> WATER UTILITY FEEAUG wI <br /> $520.00 �� �, ,� ,,�,I� <br /> c, <br /> AUGG 15 2 19 <br /> t <br /> TOTAL FEES $9,668.00 '' .r it f rj vx <br /> Pc4rmj Se" -..v� � <br /> I <br /> PERMIT NUMBER� ' U1907 026 <br /> I <br /> UTILITY BILLING COPY <br />