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A# 780 910 L04 #t• 342 2- <br /> o�S UTILITIES CITY OF EVERETT <br /> • <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1912-018 DATE <br /> JOB ADDRESS 2916 47TH ST SE LEGAL DESCRIPTION <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM DE APN: 01184800006700 <br /> OWNER POLYGON WLH LLC TENANT OVERLOOK AT RIVERFRONT <br /> 4695 MACARTHUR CT 8TH FLR CONTRACTOR POLYGON WLH LLC <br /> NEWPORT BEACH CA 92660 11624 SE 5TH ST <br /> BELLEVUE WA 98005 <br /> PHONE <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-14575 . APP-19561 <br /> SF. ['ER INSTALLATION DATE "d104441104BY <br /> MAEF oN�� ����� ��� ��� ql BACKFLOW DEVICE SERIAL NO. <br /> 412 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> yA <br /> METER ISTALLA ON Ix`h/�r BY 4 <br /> WATER ON `^ F LOCKED OUT BY TSG <br /> 3/4"METER ONLY <br /> REMARKS: <br /> C t .sac P`"/-eXP__ <br /> SEWER SERVICE <br /> PERMIT SP-18248 PERMIT TYPE NEW CONNECTION LID NO. 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 SEWER CONNECTION <br /> INSPECTED BY: I DATE <br /> IFEES I <br /> 1 ft.')Igi a3 n <br /> SEWER UTILITY FEE $70.00 # <br /> SYSTEM DEVELOPMENT FEE SEWEF $5,121.00 SC <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 S JAN 1 2O2R U. <br /> WATER UTILITY FEE $520.00 FEB 0 3 2320 <br /> CITY OF EVERETT <br /> K Permit Services <br /> TOTAL FEES $9,668.00 CC <br /> PERMIT NUMBER U1912-018 <br /> UTILITY BILLING COPY <br />