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<br /> fr UTILITIES CITY OF EVERETT
<br /> PERMIT SERVICES
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<br /> a -,-.-: ---. i PERMIT
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<br /> 3200 CEDAR STREET ,
<br /> �2_ EVERETT WA 98201
<br /> G�--/� � :-- ;(423)257 8810.
<br /> ERMV IT NUMBER ` UI704 029 ..` DA'rE
<br /> JOB ADI1RESS 3405:31 ST DR JEGAL DESCRIPTION:`
<br /> DESCRIPTION WATER,SEWER,SYS DEV FEES.NEW TOWNI=IOME LOT 16( APN?' .
<br /> OWNER ,' POLYGON WLH LLC :: ".-," :-",- TENANT
<br /> 11;624 SE 5TH ST CONTRACTOR>: .
<br /> BELLEVIJE , WA 98005. POLYGON WLH LLC
<br /> 11624 SE-STH ST
<br /> BELLEVUE WA 980.05
<br /> PHONE
<br /> PHONE
<br /> I A WATER =,-,,:t.-:=!--.
<br /> I
<br /> SERVICE SIZE SERVICE TYPE FRONTAGE .-NO OP UNITS .::-.='====6,-5:E1::1=9-:==:=::::;
<br /> ADERNO pPPLLCATION Nb
<br /> 3/4 SFR. 1.00 SO-13947 I APP-18936
<br /> SEI LEN INSTALLATION DATE - -_ - -
<br /> METER NOI �v o9�9�/-D SIZE /
<br /> -. #1 BACKFLOW DEVICE_SERIAL NO
<br /> #2BACKl-LOW DEVICE SERIAL NO.
<br /> BRAND ( „�•,
<br /> lII-,, 'MODEL NO-'
<br /> METER ISTALL:ATION DA'L'E-/U-"/u I'BY �
<br /> WATER ON `� OFF `LACKED OUT BY TSG -
<br /> REMARKS
<br /> 7
<br /> SEWER SERVICE
<br /> PERMIT -..SP-17199 PERMIT TYPE NEW CON CTION I-k,ID NO.
<br /> REMARKS: Please Note The City is responsible for structural defects in the::side sewer on the City ROW side'per EMC 3:4 08:260 e
<br /> II4SPECTED BY` -
<br /> � I DATE
<br /> FEES r` .
<br /> SEWER UTILITY.FEE $70.00 [' .
<br /> SYSTEM DEVELOPMENT FEES-RESII
<br /> -'...::'...t..,-,'..:1., I' - : :_,.. ...... ,;; :•;:„..'[.__:.. ' ; ;.' ' , ,..1,.,. '. ' ' _
<br /> $8796:00
<br /> WATER.UTILTI'Y FEE $480.00
<br /> `app 2 2017
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<br /> • .
<br /> ''TO'PO TI �- CITY OF;EVERETT
<br /> TOTALREES "--------- PeCmlt Services
<br /> ,., . $9,•346 00.' _ ,.:.
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<br /> PERMIT NUMBER U1704-029
<br /> UTILITIES COPY.
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