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7gof» <br /> 3 <br /> ,5 CITY OF EVERETT <br /> ■ �� UTILITIES <br /> EVERETT PERMIT SERVICES <br /> WAS H I N GTO N PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1910-039 DATE <br /> JOB ADDRESS 2906 47TH ST SE LEGAL DESCRIPTION <br /> DESCRIPTION 3/4"METER ONLY,NEW CONNECTION,SYSTEM DEV FEES APN: <br /> OWNER POLYGON WLH LLC TENANT OVERLOOK AT RIVERFRONT <br /> 11624 SE 5TH ST SUITE 100 CONTRACTOR <br /> POLYGON WLH LLC <br /> BELLEVUE WA 98005 <br /> 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 NCI <br /> 3/4" SFR 0.00 SO-14588 APP-19574 <br /> SH t I ER INSTALLATION DATE 404.464.0.47 <br /> S.F.NoO NO.' /1.145‘6,0 /� SIZE �� #1 BACKFLOW DEVICE SERIAL NO. <br /> 82 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALL O DA 7...042 <br /> 1 <br /> BY "9 <br /> WATER ON OFF_ LOCKED OUT BY 7 TSG • <br /> 3/4"METER ONLY fi 16 er <br /> REMARKS: /T <br /> P)'. FJ I47-IZ... <br /> ..41641e <br /> SEWER SERVICE <br /> PERMIT NO. SP-18265 PEwEBT"PE NEW CONNECTION LIDNO. <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: <br /> DATE <br /> FEES <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENT FEE SEWEF $5,121.00 • <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 _ I <br /> WATER UTILITY FEE $520.00 i s ;( wL i <br /> TOTAL FEES $9,668.00 CI y OF .V R�19 <br /> C=rri iY Services <br /> PERMIT NUMBER U1910-039 <br /> UTILITY BILLING COPY <br />