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UTILITIES CITY OF EVERETT <br /> . ���-'� � ,� - �� PERMIT SERVICES <br /> -",,,,C74,71-4,„;,...7.7:,4-:'...:,,,,,,,,,;---,1:,,,..-.,-, PERMIT <br /> :, 320 CEDAR STREET <br /> - 0 <br /> .E VERETT,WA 98201 <br /> (425)257-8$10 <br /> PERMIT NUMBER. U1703-076- - DATE:. <br /> JOB ADDRESS 440331 STAVE SE LEGAL DESCRIPTION <br /> DESCRIPTION -3/4"MEI°ER`ONLY,,NEW SEWER CONNECTION,'SYSTEM D] APN <br /> OWNER POLYGON.W,LH LLC . TENANT OVERLOOK AT RIVERFRONT <br /> 11624 SE TH ST SUITE 100 -CONTRACTOR p . - , WLH LLC <br /> BELLEVUE WA 9$005 " -11624SE 5TH ST SUITE 100 <br /> BELLEVUE WA 98005' <br /> PHONE - 4255867700' <br /> PHOIE 4255867700 <br /> ' WATER SERVICE • , <br /> 'SERVICE SIZE -SERVICE TYPE FRONTAGE NO.OF IR SERVICE ORDERNO. APPLICATION NO. <br /> 3/4" DOMIFI 0.00 - SO-13956"' APP-18945 <br /> - 'SE!IEK INSTALLATION DATE „ - BY , , <br /> METER-NO:' SIZE V'``,:#1BACKPLOW DEVICE SERIALNO.` <br /> RF NO. - - #2 BACKFIAWDEVICE SERIAL NO. <br /> BRAND -I`MODEL NO." <br /> 'METERISTALLATIONDATE'. - BY <br /> WATER ON_OFF=.LOCKED OVT BY • : ., ..TSG <br /> REMARKS: 3/4"METER ONLY - - <br /> ._ <br /> PERMIT NO. SP 17220 • PERMITTYPE f NEW CONNECTION ,}I LID NO I. <br /> REMARKS. Please Note.The City is-responsible for-structural defects in the"side sewer on the City ROW sideper EMC 14.08/60 <br /> NEW CONNECTION <br /> - _ - I ._:.-DATE - <br /> BdSPECTEDBY: <br /> FEES <br /> SEW •:,...). ,.,,..,....,Eg - - - <br /> ER UTILITY,FEE $70:00 <br /> SYSTEM DEVELOPMENT FEES-RESIT $10 947:00 <br /> WATER UTILITY FEE - $480::00 NI <br /> f MAY`172017 <br /> TO P•osTfG • <br /> CITY OF EVERETT' <br /> TOTAL FEES , $11,497.00 ; - Permit Services <br /> PERMIT NUMBER U1703.-076` <br /> UTILITIES COPY <br />