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<br /> 4:'>:.--:'-.-:.-''-e2:4.v2r;:.-i?: UTIIITIS CITY OF EVERETT
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<br /> PERMIT SERVICES
<br /> PERMIT
<br /> Vii, kf' a 3200 CEDAR STREET l
<br /> . -ifg,'WA:44jok0":71 & 42Ais :7§§4t ,,---..t4.--,E',5q.:Ti,?.,.1..;l3,';.,::-
<br /> PERMIT NUMBER U1801 031 DATE
<br /> JOB'AD,DRESS LEGAL DESCRIPTION
<br /> ''• 431Y'30THDR SES', -
<br /> ESCRIPTJON 3I4,"1VIETE1 ONLY,NEW SEWER CONNECTION,SYS th1V1 DI APN: -.
<br /> o POLYGON WLH LLC TENANT
<br /> 11624 SE:5TH ST SUITE 100 CONTRACTOR'
<br /> BELLEVUE WA 980.,05 - POLYGON WLH LLC
<br /> 11624 SE 5TH S'T SUIT 100
<br /> PHONE 4255867700 •
<br /> BELLEVUE WA 98005
<br /> PHONE • 4255867700
<br /> WATER SERVICE
<br /> SERVICE SIZE' SERVICE`TYPE FRONTAGE - - NO OF UNITS SERVICE ORDER NO:. APPLICATIONNO
<br /> 3�4" SFk 0.00 50-14212 API' 19201
<br /> SE11ER1NSTALLATIONDATE Bim`.':. - _
<br /> BMRRFEATNNEDOR NS0 -TD1A7T!-Ef7IG9? `y SI 5/ _`AiBAACCL°K[LFFLi:OW DEICE S--ERIAL'�OIp _ • -
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<br /> ..Ve,;I - _ -' MODENO. -? MEITLLAi9 /t B �Z�_
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<br /> WATERON_✓, OFP_'LOCKED.OU"T -H1'' - _ TS_G - - _ - ` _
<br /> 3/4'METER ONLY
<br /> nEMAxlcs -
<br /> - SE:.VER SER`ICE
<br /> MIS''''- C - PERMITTYENECONNECTON I
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<br /> LID NO,BSP 750 "PRostrdfhiswtheCiROWsidepe.,EMC 1408260"S PleaseNote TheCity sresponsiblefrrucualecsin tesdeeeron ty _REMARK -NEWEWR• ONNECTON
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<br /> DATE
<br /> 3
<br /> J � ..- �, t - FES -•igtitYt=1•I'77.7,\ ��
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<br /> SEWER UTILITY FBE
<br /> $70:00
<br /> n
<br /> SYSTEM DEVELOPMEI�IT PEE SEWEE $7 172 00 MARX.O b .206
<br /> SYSTEM DEVELOPMENT FEE WATEF -.•,:,,--$4-8':1;..620.-- -:::: r
<br /> WATFRUTILITYFEE $500.00.`, (/1b CT1Tv ('r 1„`' --.RET
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<br /> TOTAL FEES $12,554.00
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<br /> PERMIT NI7.iV 1 EIt `111801-031
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<br /> UTILITIES.COP.Y_
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