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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> -7-, PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> O 3 7e).5.0 (425).257-8810:. <br /> PERMIT NUMBER U1708-024 DATE: <br /> JOB ADDRESS 4510 31ST 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 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 /> LWATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 3/4 DOM/FI 0.00 SO-14129 APP-19118 <br /> SETTER INSTALLATION DATE BY <br /> METER NO(5 A/77 <br /> g(9 t 3( SIZE.- I6J #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. IS Iy I y� #2 BACKFLOW DEVICE SERIAL NO <br /> BRAND �' Z/U.I✓4f..... �/J MODEL NO. <br /> METER ISTALXION DATE�7".ifs (j' BY 4`f "� <br /> WATER ON OFF LOCKED OUT BY TSG <br /> REMARKS 3/4"METER , <br /> ISEWER SERVICE I <br /> PERMIT NO - SP-17454 PERMIT TYPE NEW CONNECTION _ 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 /> I FEES <br /> SEWER UTILITY FEE $70.00 , (`. <br /> SYSTEM DEVELOPMENT FEES-RESIT $10,947.00 <br /> WATER UTILITY FEE $480.00, - <br /> 8 <br /> 2017 <br /> Til r. <br /> li'''''''"'kff,y1 c7//,61-- / <br /> CtTY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $11,497.00 <br /> I PERMIT NUMBER U1708-024 <br /> I <br /> UTILITIES COPY <br />