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CITY OF EVERETT <br /> UTILITIES _ <br /> .I 4 1 PERMIT SERVICES <br /> -7 -' PERMIT,, y ,,s <br /> 3200;CBDAR STREET <br /> EVERETT WA 98201 <br /> d 3. 2=--1 F 42:257 8810 <br /> PERMIT`NUIVIBER U1707 010 DATE- <br /> JOB ADDRESS 3427 30TH DR LEGAL DESCRIPTION <br /> DESCRIPTION LOT 58 WATER,SEWER,SYS DEV FEES FOR°NEW TOWNH( APN- <br /> OWNER POLYGON WLH LLC • TENANT TOWNS AT RIVERFRONT <br /> 11624 SE 5TH ST SUITE 100 CONTRACTOR -POLYGON WLH LLC <br /> BELLEVUE WA 98005 11624SE'5TH ST SUITE 100 <br /> BELLEVUE WA 98005 <br /> PHONE 4255867700 <br /> PHONE 4255867700 <br /> WAFER SERVICE- 1 <br /> SERViCESIZE SERVICE TYPE FRONTAGE '.;:NO.,OF UNITS SERVICE ORDER NO 7 APPLICATION NO <br /> 3/4I' SFR , 1.00 -14 P.-.19039 <br /> .r,. SQ.,.,_ 050 �_•. <br /> SETTERINSTALLATION DAIS BY - <br /> METER NOJ6t7 75 SIZE 6-f' <br /> -: ill BACKFLOW DEVICE SERIAL NO <br /> RT NO M ALJy '/ y 112 BACKFLOWDEVICESERIAL NO <br /> (( :e jF��"[� <br /> BRAND.- <br /> 7 `/ MODEL NO. <br /> METER ISTALLATI DATE.3 J. "I( BY <br /> 'WATER ON OFF_`LOCKED OUT :BY TSG <br /> REMARKS; <br /> (' ' SEWER SERVICE I <br /> •PERMIT No. SP-17345 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 /> INSPECTED BY - - ,J DATE , <br /> 3' 1 _ <br /> FESS � •, <br /> SEWER UTILITY FEE $70.00 ' <br /> SYSTEM DEVELOPMENT FEES=RESII. ; $8,796.00 <br /> WATERUTILITY FEE $480 00 J U L t o 2017 <br /> TO FOSTIM i 1 <br /> CITY.OF EVERETT <br /> Permit.Services <br /> TOTAL FEES $9,346.00 <br /> I PERMIT NUMBER U1707,010 <br /> I <br /> UTILITIES IES cOPY <br />