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,Ilj t± Y OF EVERETT <br /> !ILITIES <br /> PERMIT SERVICES <br /> PERMIT <br /> '� � 3200 CEDAR STREET <br /> , , EVERETT,WA 98201. <br /> (425)257-8810 <br /> PERMIT NUMBER U1703-081 DATE. 1 i <br /> JOB ADDRESS 4405 31ST AVE SE LEGAL DESCRIPTION <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION, SYSTEM Di APN: <br /> OWNER POLYGON WLH LLC TENANT <br /> 11624 SE 5TH 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 4255867700 <br /> WATER SERVICIJ I <br /> SERVICE SIZE SERVICE TYPE - FRONTAGE - NO OF UNITS SERVICE ORDER NO. -APPLICATION NO. <br /> 3/4" .DOM/FI 0.00 SO-13955 APP-18944 <br /> SETTER INSTALLATION DATE BY - - - <br /> METER NO. - SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND ... - MODEL NO. - - - - - <br /> METER ISTALLATION DATE - BY <br /> WATER ON_OFF_ LOCKED OUT BY -' - TSG - - - -: <br /> iEMARICS 3*/4"METER ONLY <br /> ISEWER SERVICE I <br /> PERMIT NO.. SP-17219 PERMIT TYPE NEW CONNECTION 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 /> INSPECTED BY .I DATE: .�J � ./7 <br /> ' FEES I <br /> SEWER UTILITY FEE $70.00 ... <br /> SYSTEM DEVELOPMENT FEES-RESII $10,947.00 UL'L <br /> WATER UTILITY FEE $480.00 <br /> TO POSTING t/ 15/ i% MAS' 1 Z 2017 <br /> CITY <br /> TOTAL FEES $11,497.00 PerCF er .RErr <br /> Ces <br /> PERMIT NUMBER U1703-081 <br /> ADDRESS COPY <br />