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ILITIE S <br /> -77 OF EVERETT <br /> • PERMIT SERVICES <br /> PERMIT <br /> 3200 CEDAR STREET <br /> ` EVERETT WA 98201 <br /> (425)25 8810 <br /> PERMIT NUMBER U1609 079 DATE ��,l/ l <br /> JOB ADDRESS g z ter.ru ng LEGAL o&sCRIPTION` Section 3 .Township 29 Range 05 O <br /> DESCRIPTION 3/4"METER ONLY,NEW"SEWER CONNECTION,SYSTEM D] APN. 29053200=102300• <br /> OWNER POLYGON WLH LLC TENANT OVERLOOK AT:RIVERFRONT <br /> 11624 SE 5TH ST SUITE 100 CONTRACTOR POLYGON'WLH LLC <br /> BELLEVUE WA 98005 <br /> 11624 SE 5TH ST,SUITE 100 <br /> BELLEVUE WA 98005 <br /> PHONE 4255867700 <br /> PHONE. <br /> _, ;_ 4255.862700 •;. <br /> WATER SE1WICE <br /> SERVICE SIZE ISERVICE TYPE - FRONTAGE -:' NO.OF UNITS SERVICE ORDERNO.. - APPLICATION NO. <br /> 3/4" SFR <br /> METER NO., - SIZE' ":`. ``_ #1 BACKFLOW DEVICE SERIAL NO... <br /> RF.NO. - - #2 BACKFLOWDEYICE SERIAL NO..:. - <br /> .METER ISTALLATION DATE - <br /> `WATER ON_OFF^LOCKEDOUT --..BY -- - <br /> .., •. TSG' <br /> I ` ,SEWER, ERVICE I <br /> PERMITNo, SP-16919" PERMIT TYPE. 1VEW CONNECTION .:L.LID No. • • <br /> REMARKS: Please Note The'-C-ity is responsible for structural defects in the_side 8,e!"-7:71:1 <br /> ewer on the '4}'• <br /> ty OW side per EMC 14,08260' <br /> NEW CONNECTION.,.. <br /> INSPECTED BY: - DATE <br /> I <br /> - <br /> FEES ' <br /> SEWER UTILITY FEE $70>00 ' <br /> SYSTEM DEVELOPMENT FEES $9,910:00 T D <br /> WATER UTILITY FEE <br /> U:, $480:00 I Q-1 O TNG 7 C t �.t . <br /> CITY OF EVERE7T <br /> Ferri) J. i`v)ces _ <br /> TOTAL FEES $10,460.00 <br /> PERMIT NUMBER 1/1-69997?-- <br /> . <br /> ADDRESS COPY.` <br />