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ILITIES
<br /> TY OF EVERETT
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<br /> PERMIT,
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<br /> 3200 CEDE STREET
<br /> ..:,---;--::,,,--:;T:,:-.:-J,:-,.---;.',,: :::;-,:iyiQ,,*:: ::::::::t::--..-: RETT,WA
<br /> EVE_ 98201
<br /> (425)257 8810
<br /> PERMIT NUM1 ER U1704-030 DATE Lt
<br /> dos;ADJ)R ss : 3407,31ST DR LEGAL DESCRIPTION
<br /> DESCRIPTION WATER,SEWER,,,SYS DEV FEES TOWNHOME`LOT 161 BLD` ` APN.
<br /> 'OWNER POLYGON WLH.LLC _. TENAN
<br /> 11624 SE 5TH ST.' CONTRACTOR POLYGON WLH LLC
<br /> BELLEVUE WA 98005 11`6.24 SE 5TH ST
<br /> BELLEVUE WA 98005_ "
<br /> PHONE
<br /> .PHONE;
<br /> 1 WALTER SERVICE
<br /> SERVICE SIZE SERVICETYPE FRONTAGE .?NO OF UNLI'S "SERVICE ORDER NO. -" ':'APPLICATION NO
<br /> 3I4 SFR 1 00 §04,11#4,k,--.-:!?-,'.':,:'. .;.APP 18937
<br /> SETTER INSTALLATION DACE i.-:;,:4:::,.:::, ::-:'-,..:-.)1';/-:,: _ -
<br /> METERNO. - SIZE - _ -,#1 BACKFLOW DEVICE;SERIAL NO-i- -
<br /> RF:NO <#2 B4CKFLOW DEVICE SERIAL NO` -
<br /> :._MODEL TIO.:
<br /> METERISTALLATIONDATE'- - 'EY _ -
<br /> WATER ON- OFF ;..LOCKED OUT' '`BY - TSG -
<br /> REMARKS: - - -
<br /> SEWER;SERVIcEI
<br /> PERMIT NO. PERMIT TYPE -- -LID NO -
<br /> SP_17200 -. NEW CONNECTION I
<br /> REMARKSi PI`ease Not•e"The City is responsible`for structural defects in the(side sewer on the City ROW s'0-,-,;P, --:'-'7,eEMC 14 08 260
<br /> INSPECTED BY
<br /> FEES
<br /> _
<br /> = :F
<br /> SEWER UTILITY FEE 70.00 ,'-., . .
<br /> SYSTEM DEVELOPMENT FEES RESII '> $8 796.00 APR 7 2U 17,
<br /> WATER.UTILITY FEE' $480,00 I
<br /> ; ii ,; EVERETT
<br /> -O'. OSTINGifotseoyj00$_
<br /> TOTAL FEES $9,346 00
<br /> PERMIT NUMBER U1704 030
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<br /> ADDRESS COPY
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