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AILITIES <br />CY OF EVERETT <br />EVERETT <br />PERMIT SERVICES <br />WASHINGTON <br />.PERMIT <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U1908-045 <br />DATE <br />JOB ADDRESS 4634 31 STAVE SE <br />LEGAL DESCRIPTION <br />DESCRIPTION 3/4" METER ONLY, NEW SEWER CONNECTION, SYSTEM DI <br />APN: 01161300080100 <br />OWNER POLYGON WLH LLC <br />TENA- <br />OVERLOOK AT RIVERFRONT - <br />11624 SE STH ST <br />BELLEVUE <br />WA 98005 <br />CONTRACTOR <br />POLYGON WLH LLC <br />11624 SE'5TH ST <br />BELLEVUE WA 98005 <br />PHONE 4255867700 <br />PHONE <br />4255867700 <br />WATER SERVICE <br />SERVICE SIZE <br />SERVICETYPE <br />FRONTAGE ' <br />NO. OF UNITS <br />SERVICE ORDER NO <br />APPLICATION NO <br />SFR <br />0.00 <br />SO-14496 <br />I APP-19482 <br />SETTER INSTALLATION DATE By - <br />METER NO. SIZE <br />#I BACKFLOW DEVICE SERIAL NO. - <br />R.F. NO. _ <br />#2 BACKFLOW DEVICE SERIALNO. <br />.. <br />BRAND <br />MODEL NO. <br />METER ISTALLATION DATE. BY <br />WATERON ._ OFF_. LOCKEDOUT BY <br />,.. TSG. <br />3/4" METER ONLY <br />REMARKS: <br />... <br />------------- <br />SEWER SERVICE <br />PERMIT NO. SP-18123 <br />PERMIT TYPE NEW CONNECTION <br />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 CONNECTION <br />I DATE - <br />INSPECTED BY: <br />FEES <br />SEWER UTILITY FEE <br />$70.00 <br />SYSTEM DEVELOPMENT FEE SEWEF <br />$5,121.00 <br />§OCT <br />SYSTEM DEVELOPMENT FEE WATEF <br />$ ,957.00 <br />WATER UTILITY FEE <br />.00' <br />z 12019 <br />Cqy <br />Per OF � V,�RE7, <br />TOTAL FEES <br />$9,668.00 <br />Ser y iCeS T <br />PERMIT NUMBER U1908-045 <br />ADDRESS COPY <br />