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3�D6S �80`�1 CITY OF EVERETT <br /> W UTILITIES <br /> PERMIT <br /> PERMIT SERVICES <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1708-077 DATE: <br /> JOB ADDRESS 4516 RIVERFRONT BLVD . 13 LEGAL DESCRIPTION <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM DI APN: <br /> OWNER POLYGON WLH LLC TENANT POLYGON WLH LLC <br /> 11624 SE 5TH ST SUITE 100 CONTRACTOR <br /> POLYGON WLH LLC <br /> BELLEVUE WA 98005 <br /> 11624 SE 5TH ST SUITE 100 <br /> BELLEVUE WA 98005 <br /> PHONE 4255867700 <br /> PHONE 4255867700 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 3/4" SFR �� 0.00 SO-14201 APP-19190 <br /> /SETTER INSTALLATION DATE t/ 4 — j BY 0 y 7"1 <br /> METER No. IIIIIIIIIIIIIIIIIIIIIIIIIIIII SIZE 57‘ <br /> r 1565055974 WI DEVICE SERIAL NO. <br /> R.F.NO 4 ._ .. _ 82 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATER 2-. -- BY i1 <br /> WATER ONOFF_ LOCKED OUT BY 1 e---417 TSG <br /> 3/4"METER ONLY <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT No. SP-17567 PEST TYPE NEW CONNECTION I 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: I <br /> P <br /> FEES , <br /> arcSEWER UTILITY FEE $70.00 �A� 1 <br /> C01� <br /> SYSTEM DEVELOPMENT FEES-RESIT $11,984.00 ,t ®� E R F T� <br /> WATER UTILITY FEE $500.00 ., <br /> TOTAL FEES $12,554.00 <br /> 6 e.75 47i// b M PERMIT NUMBER U1708-077 <br /> UTILITY BILLING COPY <br />