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OF E� FRE}TT ; <br /> ILITIES <br /> ,,Cr�. - PERMIT'SEVLS <br /> .`� ERMI 3200CEDAITREET '°. <br /> , EVERETTWAT.98201 <br /> (425 257 8810': <br /> PERMIT NI7MBER U1606-063 ...DA <br /> JOBADDRESs 4309 30TH DR SERLOT'153 LEG'ALDESCRIPTION -"Section 32 Township 29 Range 05 0' <br /> DESCRIPTION NEW SFR BASIC-:PLAN#3020 A f AP�r, 290532001023"00 <br /> OWNER . POLYGON WLI-I LLC - TENANT <br /> 11624.SE 5TH ST SUITE 10.0 CONTRACTOR. POLYGON WLH LLC i <br /> BELLEVUE WA . 98005 11624`SE;:5TH ST SUITE'400 <br /> BELLEVUE <br /> PHONE 4255867700 <br /> - PHONE _4255867700 <br /> WATER SERVIC>G f I <br /> SERVICE CI7F SERVICE TYPE FRONTAGE NO.OFDNITS SERVICE ORDER NO. APPLICATION NO. <br /> SFR . 1;"00 50-13693 I. APP-1.8682 <br /> SETTERINSTALLATIONDATE By <br /> METERNO" _ SIZE ,#I BACKFLOW DEVICE�SERIALNO.. - - - <br /> KS NO .1 52 BACKFLOW DEVICE SERIAL,NO. <br /> BRAND -- <br /> MODEL NO <br /> METER ISTALLATION DATE .,By - -- <br /> WATER ON_OFF LOCKEDOIJT :BY - TSG <br /> .REMARKS: - <br /> ISEWER SERVICE <br /> PERMITNO. SP-16721-'' <br /> - PERMITTYPE NEW CONNECTION LIDNO. <br /> REMARKS: Please Note.'The Ci is pfor structural defects in the'si e <br /> t3' responsible ,. d sewer on the CityROW side per EMC 14.08.264." - ; <br /> INSPEG II,D BY - - I `DATE <br /> FEES <br /> SEWER UTILITY FEE - $70.00 em <br /> SYSTEM DEVELOPMENT FEES $9.910:00 <br /> WATER UTILITY FEE „ $480.00 ,,U'N 2 0a'V'2015 'D'- <br /> .TO. 'r ,'P, O:S,.,..,'T; If:il.P, '.i 1r-.-4-':,,-,r,,,:-.':l' <br /> r nFr;j•i(t Ser ices• ' <br /> TOTAL"FEES $10,460.00 <br /> IPERMIT NII'1VIBER U1606 063 <br /> ADDRESS COPY <br />