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■. <br />I1ILITIES <br />CVY OF EVERETT <br />EVERETT <br />PERMIT SERVICES. <br />WASHINGTON <br />ER IT <br />PERMIT <br />1�131 i <br />3200 CEDAR STREET <br />- <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U1910-037 <br />DATE <br />JOB ADDRESS 3010 47TH ST SE <br />LEGAL DESCRIPTION <br />DESCRIPTION 3/4" METER ONLY, NEW CONNECTION, SYSTEM DEV FEES <br />APN <br />OWNER POLYGON WLH LLC <br />TENANT OVERLOOK AT RIVERFRONT <br />11624'SE 5TH STiSUITE .100 <br />CON TRacTOR POLYGON WLH LLC <br />BELLEV-UE <br />WA 98005 <br />11624 SE 5TH ST" <br />BELLEVUE WA 98005 <br />PHONE 4255867700 <br />PHONE` 4255867700 <br />WATER SERVICE <br />SERVICE SIZE <br />SERVICE TYPE <br />FRONTAGE <br />- - NO. OF UNITS-- <br />SERVICE ORDER NO <br />APPLICATION NO <br />3/4" <br />SFR <br />0.00 <br />SO-14586 <br />APP-19572 <br />SETTER INSTALLATION DATE BY - <br />METER NO. SIZE <br />pl BACKFLOW DEVICE SERIAL NO, <br />R.F. NO. - <br />- - <br />A2 BACKFLOW DEVICE SERIAL NO. <br />BRAND <br />MODEL NO. - <br />METER ISTALLATION DATE - BY <br />- - <br />WATER ON_ OFF _ LOCKED OUT BY <br />TSG <br />3/4" METER ONLY <br />REMARKS: - <br />- <br />SEWER SERVICE <br />- PERMIT NO. SP-18263. <br />PERMIT TYPE - <br />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 />INSPECTED BY: <br />I <br />DATE <br />FEES <br />SEWER UTILITY FEE <br />$70.00 <br />SYSTEM DEVELOPMENT FEE SEWEF <br />$5,121.00 <br />SYSTEM DEVELOPMENT FEE WATEF <br />$3,957.00 <br />WATER UTILITY FEE ' <br />$520.00 <br />JAN 16 202� <br />TOTAL FEES <br />. $9s668.00 <br />PERMIT NUMBER Pefrn - ITT <br />ADDRESS COPY <br />