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4507 RIVERFRONT BLVD 2018-12-26
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4507 RIVERFRONT BLVD 2018-12-26
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Last modified
12/26/2018 2:37:19 PM
Creation date
12/26/2018 2:37:11 PM
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Address Document
Street Name
RIVERFRONT BLVD
Street Number
4507
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UTILITIES CITY OF EVERETT <br /> 4 <br /> . : PERMIT SERVICES <br /> PERMIT3200 CEDAR STREET <br /> - EVERETT,WA 98201. <br /> 9 I 0 ay (425)257-8810 <br /> PERMIT NUMBER U1706-066DATE: <br /> JOB ADDRESS 1. <br /> 1501 <br /> X srk�shuck LEGALDESCRIPCION Section 32 Township 29 Range 05 0 <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM Dl APN. 29053200102300 <br /> O\ ER 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 <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS - - SERVICE ORDER NO. APPLICATION NO. <br /> 3/4" DOM/FI <br /> 0.00 SO 14081 ...:.. APP-19070 <br /> 70 <br /> SEITER INSTALLATION("q4371.6) <br /> /DATTEE By - y <br /> METER NO, r/f 437/D SIZE 6/p:' <br /> { <br /> #1 BACKFLOW DEVICE$ERiAUNO. :- �. � = � . , <br /> RF.NO V - I #2BACKFIAW DEVICE SERIAL NO. <br /> BRAND it'll' c c 1$t. MODEL NO. <br /> METER ISTALLATION <br /> WATER ON _{_/OFF_.:LOCKED OUT >:BY ,.. :.-: TSG <br /> REMARKS: 3/4"METER <br /> ISEWER SERVICE I <br /> PERMIT NO. SP-17399 PERMITTYPE NEW CONNECTION -LIDNO. <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 /> I,. FEES <br /> SEWER UTILITY FEE $70.00 AUGv, <br /> SYSTEM DEVELOPMENT FEES-RESII $10,947.00 � i,,/__ -3 20vWATER UTILITY FEE $480.00 <br /> � T�NCMV'TY OF <br /> Perrnit seri,__• <br /> s <br /> TOTAL FEES $11,497.00 <br /> PERMIT NUMBER U1706-066 I <br /> I <br /> UTILITIES COPY <br />
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