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CITY.:.0.--p„.EY ERETT
<br /> h UTILITIES-
<br /> PERMIT SERVICES
<br /> �� PERMIT
<br /> r 3200 CEDAR'S.TREET
<br /> EVERETT,WA 98201
<br /> 7 (_425)257-8810
<br /> PERMIT NUMBER U170,8-010„ DATE" 8/3/2017;
<br /> ros ADDRESS _ 4517 3.0TH DR SE LEGAL DESCRIPTION LOT OF TIJE-PLAT OF-TH>;TOWNS-.
<br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM DI , 29053200102300.
<br /> OWNER.•.: POLYGON'WL.., LLC TE T OVER1 OOR AT RIVERFIZONT''
<br /> l 1024 SE 5TH ST SUITE 100 • cdNTR 4eTOR POLYGON WLH LLC
<br /> BELLEV•UE WA 98005 11624 S.E 5TH ST SUITE100'
<br /> BEI LEVUE WA. -98005:
<br /> PHONE 4253867700
<br /> PAONE 4255867700
<br /> .- - WATER SERVICE ,I
<br /> SERVICE SIZE SERVICE TYPE FRONTAGE_ NO.OF UNITS . SERVICE ORDER NO -"APPLICATION NO
<br /> .',-,-,-:..-.-::.'_-:-...,,.,f'',.,,..-.,,_:..-._.:.'1i',i'.:'.:-,::'-,..'...„_.,,,.-....--'„„;..'::'.„-,.,;..'....:.:.:,•._,'.:,.:.,':,:-,:'-..''..,.:.,.i,.„,„..'..,..,.:'..:,.'---,---r,:-',,--:,',,._:-,.,.-.:...,-..:-,,_.._.-,„,,-',':',--,,.'-_....'.:..-:..-..,,,'.-'•:•._,''-_':,:..,.-,...',':'.,..-'.-:.”',--,:;.-,.''..,:-,,''.---...'•,....'..--.,,--.,..',.',....,-._....,-,:,,.:,--1,.-,.„,.:--_,,-,..-,.,,'','.--..'„.....:-'..:.--,.,.•-:.:.'.--,1-...-.:i.,.,..:s...4-::.:,.-,-::::::.--„,,;.,,:„_:,,..,.-_.:§.i...,,-----:..--,.-.:i......,,,-,--;.4.-_.,
<br /> 3/_4" DOMIFI 0.0:0 SO-.14086 APP-19075
<br /> SETTER INSTALLATION DATE .,BY _ -
<br /> .:;„.i".,,..-
<br /> METER NO,f a . 'SIZE'” 70 _ '#BACKFLOW DEVICE SER 41,NO
<br /> Rg._NO "�. _ #2 BACKFLOW DEVICE SERIALNO
<br /> .-..-1.,,.,.-:,.<i,....:...,'.-,„.:.-.,.,.,';..-.,.,.,.-.,'',.,,...-.-,-:'...,„...-.,,----.'....,._....„-„._,._,:_-,-..'.......".i,.,',„.,-.?.,_,.-:,,-._-"..,.4,,.,.-
<br /> -..:..:...'.
<br /> BRAND MODEL NO..-
<br /> -
<br /> METERISTALLAT AT�,E``..�✓!���p BY f�
<br /> WATER ON_-OFF_;'LOCKEDOUT ,BY - :TSG
<br /> 3/4”METER
<br /> I - SEWER SERVICE ,
<br /> PERM1TNO. -SP-17403PERMITTYPE • NEW CONNECTION I`LID`No
<br /> REMARKSc Please Note The Ci'•ty IS responsible for structural defects in the• side"se•wer on"the City ROW side per:EMC 14:08.260
<br /> NEW CONNECTION,`°"
<br /> INSPECTED BY. DATE _
<br /> :
<br /> �I. FEES
<br /> SEWER UTILITY FEE $70.00
<br /> SYSTEM DEVELOPMENT FEES-RESIT $8,796.00 "
<br /> WATER UTILITY FEE < $480.00. . T4 P Ti Vu /•�"
<br /> TOTAL FEES $9,346.00
<br /> PERMIT NUMBER -(41:'8,01.0. I
<br /> UTILITIES COPY
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