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'ILITIES *TY OF EVERETT <br /> ,la PERMIT RECEIVEl.. <br /> PERMIT SERVICES <br /> 3200 CEDAR STREET <br /> B Co g 27 vim A b 2°9 EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1703-084 TA DATE: <br /> JOB ADDRESS 3108 44TH ST SE 1 (4 2O I LEGAL DESCRIPTION <br /> DESCRIPTION 3/4" METER ONLY,NEW SEWER CONNECTION, SYSTEM DI 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 /> Pl ioNi 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 ('/7 <br /> METER NO./ / 3 / g3g SIZE 57! #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. A // ,N #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND /V.�/�j(/ (,(''`.ems MODEL NO. <br /> METER ISTALLATJON DATE? ".I -17 BY V2.4 <br /> WATER ON /OFF LOCKED OUT BY TSG <br /> REMARKS: 3/4"METER ONLY <br /> ISEWER SERVICE I <br /> PERMIT NO. SP-17225 PERMIT TYPE NEW CONNECTION I 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 /> IFEES I <br /> SEWER UTILITY FEE $70.00 &tltn IE <br /> SYSTEM DEVELOPMENT FEES-RESII $10,947.00 U <br /> WATER UTILITY FEE $480.00 MA y 12 20177 <br /> TO pnoTIA—. / <br /> Permit rvices TT <br /> e <br /> TOTAL FEES $11,497.00 <br /> IPERMIT NUMBER U1703-084 <br /> UTILITY SERVICES COPY <br />