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4424 RIVERFRONT BLVD 2018-07-25
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4424 RIVERFRONT BLVD 2018-07-25
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Last modified
7/25/2018 1:55:43 PM
Creation date
7/25/2018 11:55:02 AM
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Address Document
Street Name
RIVERFRONT BLVD
Street Number
4424
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UTILITIES CITY OF EVERETT <br /> . ' � ' PERMIT SERVICES <br /> PERNIIT <br /> 3200 CEDAR STREET <br /> ...,EVER-ETI,WA 98201 <br /> (7/Y.1-t�../ir_ ' (425)257-8810 <br /> PERMIT NUMBER ,U1707 03.1 '. ;. <br /> .. `, '. 'DATE: <br /> JOB ADDRESS4424 RIVERFRONT BLVD LEGAL DESCRIPTION <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM DI APN. <br /> OWNERPOLYGON WLH LLC TENANT OVERLOOK AT RIVERFRONT <br /> 11624 SE 5TH ST.SUITE 100 CONTRACTOR <br /> BELLEVUE WA 98005 POLYGON`WLH LLC <br /> -1.1624 SE 5TH ST'SUITE 100 <br /> BELLEVUE WA 98005 <br /> PHONE 4255867700 <br /> PHONE 4255867700 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE - NO.OF UNITS SERVICE ORDER NO.. APPLICATION NO <br /> 3/4" DOM/FI <br /> 0,.00-_ 50-14097_ APP 19486,- <br /> SISI IER INSTALLATION DATE BY �^'' <br /> 'NIETER.NO ' , _ 1 ,.6-.41494"-- SIZE J� #1 BACKFLOW DEVICE-SERIAL NO.- <br /> RF NO: !r I _-_ #2 BACKFLOW DEVICE'$ERIALIJO. _ <br /> BEARD MODEL NO <br /> WATTER ISTALL/ NDATE/ !tR`.' /rY / 77M <br /> _ <br /> BY TSG - <br /> REMARKS: 3/4"METER .: ." <br /> ISEWER:SERVICE" <br /> PERMIT NO. - SP-17418 PERMITTYPE 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 perEMC 14.08.260 <br /> NEW SEWER CONNECTION <br /> INSPEC IED BY. _ .DATE <br /> I, <br /> _< _ _ _� FEES <br /> SEWER UTILITY. EE $70:00 <br /> SYSTEM DEVELOPMENT FEES-RESIT $10,947;00 . 5 ' . . (` 5, /le''''' - - .2- <br /> WATER UTILITY FEE - $480.00 . . )1"-- -- ' ( <br /> TOTAL FEES $11,497.00 , <br /> II PERMIT NUMBERU1707-031 <br /> , <br /> UTILITIES COPY <br />
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