Laserfiche WebLink
OTY OF EVERETT <br />`. <br />fTILITIES <br />E V E RET T <br />PERMIT SERVICES <br />wp, s H ny ro N <br />PERMIT <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER V1910-039 ; <br />DATA 6 J A N . <br />JOB ADDRESS 2906 41TH ST SE <br />LEGAL DESCRIPTION <br />DEscRriON 3/4" METER:ONLY, NEW CONNECTION, SYSTEM DEv FEES <br />APN. <br />OWNER POLYGON WLH LLC <br />TENANT OVERLOOK AT RIVE.RFRONT <br />11624 SE STFI.ST SUITE <br />"100 ,. <br />' CONTRACTOR POLYGON WLH LLC <br />BELLEVUE <br />WA 98005 <br />11624 SE STH.ST <br />BELLEVUE TWA � ,... 98005 =' <br />PHONE 4255867700 <br />PHONE 4255867700 <br />WATER SERVICE"NNERM <br />-, <br />SERVICE SIZE <br />SERVICE TYPE <br />FRONTAGE-NO.OF <br />UNITS, <br />SERVICE. ORDER NO: <br />-' APPLICATION NO <br />3/4" <br />SFR <br />0.00. <br />SO-14588 <br />I APP-19574 <br />SETTER INSTALLATION DATE BY <br />-- <br />METER NO.. - SIZE <br />pl BACKFLOW DEVICE SERIAL NO. <br />R.F.NO. <br />: 42 BACKFLOW DEVICE SERIAL NO <br />BRAND <br />MODEL NO. - - <br />METER ISTALLATION PATE - BY - <br />WATER ON_ OFF_. LOCKEDOUT BY <br />TSG <br />3/4" METER ONLY <br />REMARKS: <br />SEWER SERVICh <br />PERMIT NO. :. ,... SP-18265. <br />PERMIT TYPE NEW CONNECTION <br />LID NO. <br />REMARKS: Please Note: The City is responsible for structpral defects in the side sewer on the City ROW side per EMC 14.08.260 <br />NEW CONNECTION <br />INSPECTEb BY: <br />DATE <br />FEES <br />SEWER UTILITY FEE <br />$70.00 <br />SYSTEMDEVELOPMENTFEESEWEF <br />$5,121,00 <br />SYSTEM DEVELOPMENT FEE WATEF <br />$3,957.00\J� <br />WATER UTILITY FEE <br />$520.00 <br />:1AN 16 `20X <br />TOTALFEES <br />$9t668:00 : CITE' QF 1✓VERETT <br />ke=PERMIT <br />NUMBER V191A-039 <br />ADDRESS COPY <br />