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mom <br /> =I UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 3200 CEDAR STREET <br /> L j < N EVERETT,WA 98201 <br /> PIOt _ -2 - 9 e. c a 1& m� 7 (425)257-8810 <br /> PERMIT NUMBER U1907-024 1 1.0 Cri S DATE <br /> JOB ADDRESS 4616 RIVERFRONT BLVD ' (\ LEGAL DESCRIPTION <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM DI APN: <br /> OWNER POLYGON WLH LLC TENANT OVERLOOK AT RIVERFRONT <br /> 11624 SE 5TH ST 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 NQ APPLICATION NO <br /> 3/4" SFR 0.00 SO-14464 APP-19450 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE 13 #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND / 9 }� U MODEL NO. <br /> METERIS.T_AL�LAPO_NDATE IZ'°Z'l BY p�.V / 24 <br /> WATER C -pFFf-�`/^J�LOCKED OUT BY TSG <br /> 3/4"METER ONLY <br /> !y <br /> REMARKS: <br /> s �Z III IIIIIIIIINIIIll III III IIII I <br /> [i r 1564778204 2 <br /> ISEWER SERVICE <br /> PERMIT NO. SP-18101 PERMIT TYPE NEW CONNECTION I LID NO. <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 /> FEES I <br /> SEWER UTILITY FEE $70.00 '1' ' <br /> SYSTEM DEVELOPMENT FEE SEWEF $5,121.00 Sr <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 p "a f7 1 <br /> WATER UTILITY FEE $520.00 s I`' II Q,,,:. ' °I i m <br /> il <br /> 3 �8 AT"� Jul <br /> L t <br /> TOTAL FEES $9,668.00 op <br /> IPERMIT NUMBER U1907-024 I <br /> UTILITY BILLING COPY <br />