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T� 'Y OF EVERETT
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<br /> PERMIT SERVICES
<br /> = PERMIT . _ -.- --'-„..,:-',---'--.,
<br /> -3200 CEDAR STREET
<br /> EVERETF WA 98201;
<br /> t\A`SW (425),'25'1'48810;
<br />:: .. ,PERMIT NUMBER-. U1703-086 PATE...
<br /> .
<br /> . ... ._ ., . . . . ,.
<br />,, JOB ADDRESS 630TH DR SE LEGAL DESCRIPTI. ., ,. .. . . ., ,, ,. _. ON LOT O . HE PLAT OF THE TOWN,-
<br /> DESCRIPTION 3/4"ME,TER`ONLY NEW SEWER CONNECTION,SYSTEIVI"D] APN' . 29053200102300
<br /> OWNER POLYGON WLH`LLCTE?ANT OVERLOOK AT;RIVERFRONT
<br /> 11624 SE STH ST SUITE 100 CONTRACTOR POLYGON WLH LLC
<br /> BELLEVUE WA 98005 11624.SE 5TH ST SUITE 100
<br /> - BELLEVUE WA 98005
<br /> PHONE 4255867700
<br /> PHONE
<br /> . 4255867700
<br /> WATER SERVICEI
<br /> SERVICE SIZE SERVICE TYPE FRONTAGE 'NO.OF UNITS SERVICE ORDERNO. APPLICATION NO.
<br /> 3/4" DOM/FI - 000 ' SO-13950 APP-18939
<br /> SEI ILR.INSTALLATION DATE 'BY
<br /> `METER NO. - ;•SIZE. :. - - ,v::HI BACEFLOW DEVICE;SERIAL NO,^;
<br /> BLAND - MODEL NO.
<br /> METER ISTALLATION DATE BY .
<br /> WATERON OFF_-LOCKEDOUT BY - TSG
<br /> REMARKS: 3/4"METER ONLY - -
<br /> � ` . SEWER_SERVICE
<br /> PERMITNO." SP-17214 PERMIT TYPE 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: - DATE
<br /> FEES
<br /> t '
<br /> SEWER UTILITY FEE $70.00
<br /> SYSTEM'DEVELOPMENT FEES4RESII 58,796.00
<br /> WATER UTILITY FEE $480.00 TO POSTING 2?4$ .•
<br /> t 'AY 0.9 2017
<br /> TOTAL FEES $9,346.00
<br /> Permit '.5rvi
<br /> PERMIT NUMBER U1703-086
<br /> ADDRESS COPY.
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