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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> 1 PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 0 3 69o/ (425)257-8810 <br /> PERMIT"NUMBER U1705-015 DATE: <br /> JOB ADDRESS 4412 31ST AVE SE LEGAL DESCRIPTION <br /> DESCRIPTION 3/41'METER ONLY,NEW SEWER CONNECTION, SYSTEM D7 APW. 00574700100102 <br /> QWNER ' POLYGON WL,H 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 /> PH NE 4255867700 <br /> PHONE 4255867700 <br /> WATER SERVICE <br /> SERVICE SIZE. SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO.: APPLICATION NO.3/4" DOM/FI • 0.00 SO-13974 APP-18963 <br /> SETTER INSTALLATION, . J/ <br /> /DAATE ... BY <br /> METER NO/` <br /> "" �C ol U/(t v <br /> .o5SIZE /2 <br /> N]BACKFLOW DEVICE SERIAL NO <br /> RENO. �[ - - #2 BACKFLOW DEVICE.SERIAL NO <br /> BRANDQ - MODEL NO. <br /> %r.r <br /> METER ISTALLAT N D BY7 ' - �� <br /> WA —TER ON OFF LOCKED.OUT 'BY <br /> TSG • <br /> REMARKS: 3/4"METER ONLY <br /> SEWER SERVICE <br /> PERMIT xo. ':SP-17249 PERMIT TYPE NEW CONNECTION <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: DATE. <br /> FEES <br /> SEWER UTILITY FEE $70.00 @ 1.. <br /> SYSTEM DEVELOPMENT FEES-RESII $10,947.00 �,/A 1.. <br /> WATER UTILITY FEE i o r O 11 ® 2/15/1 IIAY �':2 <br /> (G 30 ?017 <br /> Cf PypFEVERE 1 <br /> TOTAL FEES $11,497.00 erriir Services l <br /> PERMIT NUMBER' U1705-015 <br /> UTILITIES COPY <br />