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. ." UTILITIE S
<br /> CITY OF EVE ® TT
<br /> PERMIT SERVICES
<br /> 7e
<br /> PERMIT
<br /> . tVE:CEDAR ST1tEET
<br /> '-;,;:.-..-,-1,...,-.: ::,7.4.-:'---•;---.,,'.---.-::.", EVERET`P,.WA 98201
<br /> PERMIT NUMBER ` U1706-071 DATE
<br /> �425�
<br /> Z'S.7 8$10 ,
<br /> JOB ADDRESS 7 30TH DR SE LEGAL DESCRIPTION
<br /> �" ' Section 32 ToWrishlp 29 Ranke OS 0
<br /> } DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SY.STEM.D] , APN_ - 29053200=102390"
<br /> OWNER POLYGON WLHLLC TENANT OVERLOOK AT RIVERFRONT
<br /> 11624 SE 5TH ST SUITE 100 . CONTRACTOR • POLYGON'WLH LLC_
<br /> BELLEVUE WA .98005 '11.624SE 5TH ST SUITE 100
<br /> BELLEVUE WA 98005
<br /> PHONE 42558.67700
<br /> - PHONE 425i.5867700 /
<br /> WATER SERVICE I
<br /> SERVICE SIZE SERVICE TYPE.. _FRONTAGE NO.OP UNITS SERVICE;ORDERNO APPLICATION NO
<br /> 3/4" DOM/FI, -0:00 5014082 - I APP-1.9071
<br /> '' SETTF.RTNSTALLATION DATE By--
<br /> AvIE'EANO��Y1 3 b6( SIZE. �! _ 'kIBACKFLOW,DEVICE'SEPJAL NO
<br /> .BRAND ,/�I✓74 !7 L - _ _
<br /> ' .�#2 BACKFI:OW DEVICE SERIAL NO �"
<br /> - �MODEL NO:
<br /> METERISTALI.ATIONDATE3 W(d7 BY. .>
<br /> WATER ONE OFF_.LOCKED OUT 'ABY _ TSG
<br /> Ri iVtARKs: 3/4"METER
<br /> ISEWER SERVICE
<br /> PERnm No SP-17400 . • PERROTrPE NEW CONNECTION >I 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_s
<br /> NEW CONNECTION
<br /> INSPECTEDEY ( DATE
<br /> 1
<br /> SEWER UTILITY FEE $70 00
<br /> _;;2,....,...:_:..:„:.,. .-:...,...",_,..,..-,:;:.._--:„...]...,2.:-.-i:-..,.,„-......„:.:-..-J.:_:...-.-"..„.-....:-..... .._.._..-..,'-.. .-:.:,.,...--..:..:y_.:..-;..--..i--....,-..-.....:.:..:.,-,.....,.• .,...@&-_,t1---yi„,:t,-:,-.. .:-y-;',•,-‘,':---:,.-.-_-.,.,.;,::.--..;,.-.•--'.,-'..-:.,,-.::::-,::::.'-.:.:----..:y-_-_•,:.•••-...-i::•:-..i
<br /> SYSTEM DEVELOPMENT FEES-RESIN' .----:--314941-7:00'-,--"- ..--'-'
<br /> WATER UTILITY FEE $480:00
<br /> TO POSTING q( //� : A.".:....-_.,-•,'.--, ,
<br /> ,2Q;7 .
<br /> CITY
<br /> TOTAL FEES " $11,497:00 :. Per 71 e ERE
<br /> • �V/ 83
<br /> LPERMIT NUMBER 1J1706-071
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<br /> VTILITIES COPY
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