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CITY OF, EVERETT <br />UTILITIES <br />PERMIT SERVICES <br />PENT <br />3200 CEDAR STREET <br />6 �y <br />EVERETT,--WA 98201 <br />' (425) 257-8810' <br />PERMIT NUMBER U1703=087 <br />DATE. <br />JOB"ADDRESS ' 4415 30TE DR.SE. <br />LEGAz DEscRrnTloN LOT OF THE PLAT OF THE=TOWN. <br />DESCRIPTION 3/4" METER; ONLY, NEW SEWEIZ.CONNECTION, SYSTEM D) <br />APNc 29053200102300: <br />OWNER POLYGON WLH LLC - <br />TENANT <br />OVERLOOK AT RIVERFRONT <br />11624 SE 5TH ST SUITE 100 <br />BELLEVUE WA 98005 <br />CONTRACTOR <br />POLYGON WLH LLC <br />11624 SE 5TH ST SUITE 100 <br />BELLEVUE WA 98005 <br />PHONE 4255867760 <br />PHONE. <br />42558.67700 <br />WATER SERVICE <br />SERVICE SIZE - <br />SERVICE TYPE <br />FRONTAGE- <br />NO OF UNITS <br />-- SERVICE ORDER NO. <br />APPLICATIONNO. - <br />3/4" <br />DOM/FI <br />000 <br />S043953 , <br />I APP-I8942 <br />SETTER INSTALLATION DATE <br />�SERIALN0. <br />#1 BACKPI,OIp DEVICE <br />RF NO y <br />'-'- #2 BACKELOW DEVICE SERIAL <br />NO. <br />BRAND -.h/.� 4r/I 7—1 <br />Gj :: <br />S MODEL NO. <br />�j _ <br />METER ISTA'LLATION D,T,/ 0 - 2 - / BY <br />/ <br />WATERON.✓/� OFE_ <br />LOCKED OUT BY <br />T$G... <br />RRMARKS: - 3/4" METER ONLY <br />SEWER SERVICE. <br />PERMIT NO. - SP-1 /217 PERMITTYPE. a. NEW CONNECTION <br />LMNO. <br />REMARKS: Please -Note: The City is responsible for structural defeets in.the,side sewer on the City ROW side per EMC 14.08.260 <br />NEW CONNECTION <br />-DATE: <br />INSPECTEDBY - <br />FEES. <br />.SEWER UTILITY FEE $70OQ <br />SYSTEIvIDEYELOPIVZENT FEE$=RESII $8 796,00 <br />WATER UTILITY FEE ' $480. 00 <br />�JL <br />MAY92017 <br />CITY <br />TOTAL FEES $%;346.00 <br />�QfO s.NERETT <br />PERMIT NUMBER U17Q3-087 <br />UTILITIES COPY <br />