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t Y OF EVERETT <br />Al.LITIE <br />S <br />EVERETT <br />PERMIT SERVICES <br />WASHINGTON <br />PERMIT <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U1909-012 <br />DAIS 2 4 O C T <br />JOB ADDRESS 4626 31 ST AVE SE : <br />LEGAL DEsciziPTTorr <br />DESCRPTION 3/4" METER ONLY; NEW SEWER'CONNECTION, SYSTEM DF <br />' APN.: O11`61300080100 <br />OWNER POLYGON WLH LLC <br />TENANT OVERLOOK AT RIVERFRONT <br />11624 SE 5TH STSUITE100 <br />BE IL UE <br />WA ` 98005 <br />.> CONTRACTOR : .°. POLYGON WLHL`LC, <br />, <br />11624 SE STH ST' <br />BELLEVUE WA 98005 <br />PxoNE 4255867700, <br />PHONE' 4255861700 <br />"WATER SERVICE�� <br />SERVICESUE. <br />SERVICE TYPE <br />- FRONTAGE <br />NO.OFUNITS <br />SERVICE ORDER NO `- <br />APPLICATION NO f <br />3/411 <br />SFR <br />0.00 <br />SO-14535 .; <br />I APP49521 <br />SETTER INSTALLATION DATE- BY <br />METER NO, SIZE <br />#1 BACKFLQW DEVICESERIAL NO. - <br />- <br />R.F. NO. -_ <br />#2 BACKFLOWDEVICE SERIAL NO. <br />.BRAND - <br />-. MODEL NO. - - - - <br />AETERISTALLATION DATE, BY <br />WATER ON_ OFF_ LOCKED OUT BY <br />- TSG <br />3/4" METER ONLY <br />--REMARKS: <br />SEWER SERVIC°F <br />PERMIT NO. SP48181 -.: <br />PERNff TYPE NEW CO NIV JVCTION <br />.LID NO .. - <br />... <br />,REMARKS: Please Note: Tht City is responsible for structural.defects in the side sewer on the. City ROW side per EMC 14.08.260 <br />NEW CONNECTION - <br />'. <br />INSPECTED BY: ` - <br />.. I. DATE <br />SEWER UTILITY FEE <br />$70.00_4 <br />SYSTEM DEVELOPMENT TEE SEWEF <br />$5,121.00 i" <br />SYSTEM DEVELOPMENT FEE WATEF <br />$3,957.00 <br />WATER UTILITY FEE <br />$520.00 L 2�{}� <br />19 <br />I � OF E V <br />Servi-e-TT <br />es <br />TOTAL FEES <br />PERMIT NUMBER < U1909-612 <br />ADDRESS COPY <br />