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UTILITIES CITY OF EVERETT <br /> S <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER UI 703-084 DATE: <br /> JOB ADDRESS 3108 44TH ST SE LEGAL DESCRIPTION <br /> DESCRIPTION 3/4" METER ONLY,NEW SEWER CONNECTION, SYSTEM D1 APN: 00574700100102 <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 I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 3/4" DOM/FI 0.00 SO-13959 APP-18948 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. 42 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 /> ISEWER SERVICE I <br /> PERMIT NO. <br /> SP-17225 PERMIT TYPE NEW CONNECTION I LID 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 /> FEES <br /> 11JJLSEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENT FEES-RESII $10,947.00 MAy Z 2017 <br /> WATER UTILITY FEE $480.00 1 <br /> C ii' `" iiIi Permit� w <br /> �s +T __:.__.. �/ l _ . CITY TT <br /> ermit Services <br /> TOTAL FEES $1 1,497.00 <br /> IPERMIT NUMBER U1703-084 I <br /> UTILITIES COPY <br />