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fTILITIES 6ITY OF EVERETT <br /> PERMIT SERVICES <br /> iT PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1610-031 DATE: t 13 11 V <br /> JOB ADDRESS 3105 44TH ST SE LE GAL DESCRIPTION LOT OF THE PLAT OF THE TOWN; <br /> DESCRIPTION 3/4" METER ONLY,NEW SEWER CONNECTION,SYSTEM Dl 7 APN: 29053200102300 <br /> OAR POLYGON WLH LLC TENANT OVERLOOK AT RIVERFRONT <br /> 11624 SE 5TH ST SUITE 100 CONTRACTOR POLYGON WLH LLC <br /> BELLEVUE WA 98005 11624 SE 5TH ST SUITE 100 <br /> BELLEVUE WA 98005 <br /> ''11ON1 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 I 0.00 SO-13848 APP-18838 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE' 11 BACKFLOW DEVICE SERIAL.NO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND <br /> MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON_ OFF LOCKED OUT BY TSG <br /> REMARKS: 3/4"METER <br /> SEWER SERVICE <br /> "RMII NOSP-16948 PERMITTYPE NEW CONNECTION 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'. I DATE: <br /> FEES <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENT FEES $9,910.00 (� �► <br /> WATER UTILITY FEE $480.00 l� <br /> 2015 , , , <br /> TOTAL FEES $10,460.00 CITY OF EVERETT <br /> Permit Se <br /> PERMIT NUMBER 01610-031 <br /> ADDRESS COPY <br />