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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> ,,,,,-----,-:r::1,T-'''', <br /> PENT3200 CEDAR STREET <br /> g <br /> O �D EVERETT,WA 98201 <br /> (425),257-8810 <br /> PERMIT NUMBER U1708-071 . 1 `-I- 7 DATE: <br /> JOB ADDRESS4424 29TH AVE SE LEGAL DESCRIPTION <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM D] APN: 00574700100102 <br /> OWNER POLYGON WLH LLC TENANT OVERLOOK AT RIVERFRONT <br /> 11624 SE 5TH ST SUITE 100 CONTRACTORPOLYGON WLH LLC <br /> BELLEVUE . WA 98005 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` 0.00 SO-14111 `APP-19100 <br /> SETTER INSTALLATION DATE BY +'�^ <br /> ` ME'IBR N D f2 :: SIZE _ "'� <, <br /> #LBACKFLOW DEVICE SERIALNO. <br /> RE NO 4 #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND <br /> MODEL NO. <br /> METER ISTALLATION DATE - 2. -/J3Y V 751 , • <br /> WATER ON 1/ OFF_ LOCKED OUT - BY TSG <br /> REMARKS: `3/4"METER <br /> ISEWER SERVICE I <br /> PERMIT NO " SP-17431 PERIvBTTYPE NEW CONNECTION I Lm 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: DATE. - <br /> 1 FEES <br /> SEWER UTILITY FEE r $70.00 4g ISZU <br /> SYSTEM DEVELOPMENT FEES-RESII $10,947.00 . s7 / <br /> WATER UTILITY FEE $480.00 ♦ �� ,e !' _ <br /> .to <br /> Q AUG 2 5 2017 <br /> CITY OF <br /> TOTAL FEES $11,497.00 pe11111[ S vERETT <br /> rvjees <br /> 1 t 1 0 /6-4/ / 66I PERMIT NUMBER U1708-071 <br /> UTILITY BILLING COPY <br /> -.15-)\(- v /if /� ,� - G =/� e <br />