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4619 RIVERFRONT BLVD 2020-12-23
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4619 RIVERFRONT BLVD 2020-12-23
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Last modified
12/23/2020 3:54:45 PM
Creation date
12/23/2020 3:54:25 PM
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Address Document
Street Name
RIVERFRONT BLVD
Street Number
4619
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PTILITIES *Ty OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1908-004 J <br /> JOB ADDRESS 4619 RIVERFRONT BLVD LEGAL DESCRIPTION E U 6 S t I Lv 0 S <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM DE APN: 01161300080100 <br /> OWNER POLYGON WLH LLC TENANT OVERLOOK AT RIVERFRONT <br /> 4695 MACARTHUR CT 8TH FLR CONTRACTOR POLYGON WLH LLC <br /> NEWPORT BEACH CA 92660 <br /> 11624 SE 5TH ST SUITE 100 <br /> BELLEVUE WA 98005 <br /> PHONE <br /> PHONE 4255867700 <br /> IWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO APPLICATION NO <br /> 3/4" SFR 0.00 SO-14507 APP-19493 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE 81 BACKFLOW DEVICE SERIAL NO. _ _ _ <br /> R.F.NO. I A2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF LOCKED OUT BY <br /> TSG <br /> 3/4 METER ONLY <br /> REMARKS: <br /> ISEWER SERVICE I <br /> PERMIT NO. SP-18134 PERMIT TYPE NEW CONNECTION I L1D NO. <br /> O 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 FEE $70.00 ( j ` <br /> �tl <br /> SYSTEM DEVELOPMENT FEE SEWE1 $5,121.00 �� <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 SEP 0 6 2019 <br /> WATER UTILITY FEE $520.00 <br /> CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $9,668.00 <br /> IPERMIT NUMBER U1908-004 <br /> ADDRESS COPY <br />
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