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PTILITIES iTY OF EVERETT <br />EVERETT <br />PERMIT SERVICES <br />WASHINGTON <br />71 <br />PERMIT <br />i 1 <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U1908-049 <br />DATE' <br />7 <br />JOB ADDRESS 4628RIVERFRONTBLVD <br />LEGAL DESCRIPTION <br />DEsclurnoN 3/4,,'METER ONLY;; NEW SEWER CONNECTION; SYSTEM DF <br />APN. 01161300080100` <br />OWNER POLYGON WLH LLC <br />TENANT OVERLOOK AT RIVERFRONT <br />11624 SE-STH ST <br />BELLEVUE <br />WA 98005 <br />CONTRACTOR :. POLYGON WLH LLG <br />11624 SE`5TH ST <br />BELLEVUE ' WA 98005 <br />PHONE 4255867100 <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 />I <br />0.00 <br />_ <br />SO 14500 <br />- <br />I APP 19486 <br />- SETTER INSTALLATION DATE -,BY <br />METER NO. '° SIZE ': <br />kI BACKFLOW DEVICE' SERIAL NO. <br />RF. NO. <br />... <br />BACKFLOW DEVICE SERIAL NOi - <br />_ <br />BRAND .:.. <br />MODEL NO. - - <br />METER ISTALLATION DATE By <br />- - - - <br />WATER ON_ OFF _ LOCKEDOUT BY <br />TSG <br />3/4" METER ONEY - ` <br />REMARKS .:..:' ... . . <br />SEWER SERVICE <br />PERMIT NO SP-18127 <br />PERMITTYPE 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 />- <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 />$3,95700 <br />WATER UTILITY FEE <br />$520:00 OnTo Q <br />G (1 <br />1019 <br />CITY <br />XOTAL FEES <br />$9,668.00 Pe f M t vEP,—R r <br />PERMITNUMBER U1908604,9 <br />ADDRESS COPY <br />