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I i <br /> / <br /> CITY OF EVERETT <br /> UTILITIES RECEIVED <br /> ''� sPERMIT SERVICES <br /> a > - 1 PERMIT MAY I b ,2C 17. <br /> ,:-5 ,,,---..:',‘,;„„,;''',.:,11.1-'''/ 3200 CEDAR STREET <br /> b 3 *f- UTILITY SERVICES EVERETT,WA 98201' <br /> (425)257-8810 <br /> PER1y1IT NUMBER U1703-081 DATE: -7- <br /> 4405 3 <br /> 4405.31 ST AVE SE LEGAL DESCRIPTION <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION, SYSTEM DIAPN. • <br /> •,OAR POLYGON WLH LEC TENANT <br /> 11624 SE 5TH ST SUITE 100 CONTRACTOR POLYGON WLH LLC <br /> BELLEVUE • WA 98005 11624 SE 5TH ST SUITE 100 <br /> BELLEVUE AWA 98005 <br /> PHONE 4255867700 <br /> PHONE 4255867700 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO. APPLICATION NO <br /> 3/4" DOM/FI r 0.00 SO-13955 APP-18944 <br /> SETTER,-INSTALLATION DATE BY - -_ <br /> METERN/6 4/ k/). t /). SIZE- '/'? <br /> #I BACKFLOW DEVICE:SERIAL NO.° - " <br /> RF NO. V #2 BACICPLOW DEVICE SERIAL NO: <br /> METERISTALLA DATE1O 3 '1 BY 4742,41.1. - <br />• WATER ON OFF_ LOCKED OUT BY TSG <br /> REMARKS' 3*/4"METER ONLY <br /> SEWER SERVICE I <br /> PERMIT NO. SP-17219 - PERMITTYPE 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 side per EMC 14.08.260 <br /> NEW CONNECTION <br /> n _ FEES <br /> SEWER UTILITY FEE $70.00 <br /> , - . @ n il <br /> SYSTEM DEVELOPMENT FEES-RESII $10,94 `i 1 --- I rte': <br /> WATER UTILITY FEE $480.00 t4A r'- -�, <br /> 1Z <br /> 2017 <br /> TO POSTS .V1 / CIPYOF VE <br /> 1'17111' <br /> TOTAL FEES $11,497.00 et�l i s@►•Ices T T <br /> PERMIT NUMBER . U1703-081 <br /> UTILITY SERVICES COPY <br />