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�' �� i l i �� 3,(,-7� CITY OF EVERETT <br /> UTILITIES /g05° <br /> EVERETT PERMIT SERVICES <br /> WAS H I N GTO N PERMIT <br /> �j 3200 CEDAR STREET <br /> I CC °— `� 5 EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1912-019 Se 7 ,b 73%�✓ DATE <br /> JOB ADDRESS 2902 47TH ST SE /gj)3 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 NO APPLICATION NQ <br /> 3/4" SFR 0.00 SO-14576 APP-19562 <br /> SETTER INSTALLATION DATE G to. a BY G�jJ <br /> METER N � / /��/4 �SIZE� �� #1 BACKFLOW DEVICE SERIAL NO. <br /> BY.NO.: 6 7 Y X2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTUL ONO �221'11E'BY �� <br /> WATER Ot LOCKED OUT BY TSG <br /> 3/4"METER ONLY <br /> REMARKS: <br /> t 7" , pX 1640 5"44-17L- <br /> SEWER SERVICE <br /> PERMIT NO. SP-18249 • <br /> PERMEFTYPE <br /> NEW CONNECTION Lro No. 1 <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 /> FEES <br /> 4 <br /> SEWER UTILITY FEE $70.00 SC <br /> SYSTEM DEVELOPMENT FEE SEWEI $5,121.00 r s a ale <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 FEB 0 3 2000 <br /> WATER UTILITY FEE $520.00 <br /> B cNc JA 312020 [I, <br /> TOTAL FEES $9,668.00 CITE OF EVERETTPermit Services <br /> PERMIT NUMBER U1912-019 <br /> UTILITY BILLING COPY <br />