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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> slda PERMIT 3200 CEDAR STREET <br /> 14 D 3 ` EVERETT,EVEWA 98201 <br /> 7 (425)257-8810 <br /> PERMIT NUMBER U1706-034 DATE: <br /> JOB ADDRESS 4419 31ST AVE SE LEGAL DESCRIPTION LOT OF THE PLAT OF THE TOWN; <br /> DESCRIPTION 3/4" METER ONLY, NEW SEWER CONNECTION, SYSTEM Di 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 <br /> 11624 SE 5TH ST SUITE 100 <br /> BELLEVUE WA 98005 <br /> PHONE 4255867700 <br /> PHONE 4255867700 <br /> WATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE Na OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 3/4" DOM/FI 0.00 SO-14011 APP-19000 <br /> SETTER INSTALLATION DATE BY <br /> METER,1 .5Li Le 0556 8z.. SIZE 5/e9 Ill BACKFLOW DEVICE SERIAL NO. <br /> I/ <br /> RF.NO. ! #2 BACKFLOW DEVICE SERIAL NO. _ <br /> BRAND <br /> '' 47424.4 <br /> '/" MODEL NO. <br /> METER ISTALLATION$A' O-1!'J7 BY / Z.L <br /> WATER ON'OFF LOCKED OUT BY <br /> TSG <br /> REMARKS: 3/4"METER ONLY <br /> ISEWER SERVICE I <br /> PERMIT No. SP-17292 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'. <br /> FEES I <br /> SEWER UTILITY FEE $70.00 <br /> a � �., <br /> SYSTEM DEVELOPMENT FEES-RESIT $10,947.00 <br /> WATER UTILITY FEE $480.00 J V t <br /> ' 9 '1017 <br /> �, /7/l° CIT: yenOF EVERETT <br /> __ P <br /> �� ® � U_______. Services <br /> TOTAL FEES $11,497.00 <br /> IPERMIT NUMBER UI 706-034 I <br /> UTILITIES COPY <br />