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e <br /> ,,,,,i,-,,,,,,-, .,), UTILITIES RECEIVED CITY OF EVERETT <br /> e i <br /> -` ' JUL 2 6 20fl PERMIT SERVICES <br /> f rERMIT 3200 CEDAR STREET <br /> ...,- UTILITY SERVICES EVERETT WA 98201 <br /> Dgi / J f (425)°257-8810:. <br /> PERMIT NUMBER U1706-035 : DATE: <br /> JOB ADDRESS 4501-31ST AVE SE- LEGAL DESCRIPTION LOT OF THE PLAT OF THE TOWN: <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER.CONNECTION,SYSTEM D] APN: 29053200102300 <br /> °WNER 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 /> _ WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO - APPLICATION NO. <br /> 3/4" DOM/FI 0.00 SO-14066I APP-19055 <br /> SETTER INSTALLATION <br /> 44.METERDATE <br /> BY '�-�/5 �V1 ZN( ] ii SIS _ - - - <br /> #1 BACKFLOW DEVICE SERIAL NO.�: <br /> S.F.NO. N - Ii #2BACKFLOW DEVICE SERIAL NO. <br /> BRAND419e _ .MODEL NO. - <br /> METER ISTALLATI DATE'27--/f BY 1/2''''‘.. <br /> WATER ON OFF LOCKED OUT ' BY - TSG .. - <br /> RESSARKs: . 3/4"METER <br /> ISEWER SERVICE <br /> PERMITNO. SP-17378 PERpBTTYPE NEW CON NECTION 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 <br /> NEW CONNECTION <br /> INSPECTED BY ?.DATE <br /> FEES <br /> SEWER UTILITY FEE` $70.00 <br /> SYSTEM,DEVELOPMENT FEES-RESII $10,947:00 <br /> WATER UTILITY FEE <br /> $480.00 <br /> TO POSTING 9/ i`2' <br /> TOTAL FEES $11,497.00. <br /> I PERMIT NUMBER U1706-035 <br /> I <br /> UTII:ITIES COPY <br />