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ss <br /> UTILITIES CY OF EVERETT <br /> aPERMIT SERVICES <br /> PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> PERMIT NUMBER U1705-011 DE_ Ja2 UD 257-.8810 <br /> 201.[ <br /> JOB ADDRESS 4409 31ST AVE SE LEGAL DESCRIPTION LOT OF THE PLAT OF THE TOWN: <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM D] APN: 29053200102300 <br /> OWNER POLYGON WLH LLC TENANT OVERLOOK AT RIVERFRONT <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 /> IWATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE - NO OF UNITS. - SERVICE ORDER NO- APPLICATION NO. <br /> 3/4" DOM/FI 0.00 SO-13976; APP-18965 <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 /> REMARKS: 3/4"METER ONLY <br /> SEWER SERVICE <br /> PERMIT NO PERMITTYPE NEW CONNECTION <br /> SP-17254 I Lm NO <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: <br /> IFEES 1 <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENT FEES-RESII $10,947.00 <br /> WATER UTILITY FEE $480.00 <br /> TO POSTING .2-7 <br /> 2 2011 <br /> TOTAL FEES - $11,497.00 elTY kir <br /> I erirlit VERS TT <br /> IPERMIT NUMBER U1705a-,011 <br /> ADDRESS COPY <br />