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ILITIES <br /> 11101, <br /> lI'Y OF EVERETT <br /> '� FR PERMIT SERVICES <br /> PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1607-057 DATE < 2,— l(a <br /> JOB ADDRESS 4321 29TH DR SE LOT 108 LEGAL DESCRIPTION <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM D] APN_ <br /> OWNER 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 /> II WATER SERVICE <br /> SERVICE SIZE SERVICE TYPEFRONTAGE - NOOF UNITS. SERVICE ORDER NO. APPLICATION NO. <br /> 3/4" SFR I 0.00 SO-1 APP-18708 <br /> I 3715 <br /> SETTER INSTALLATION DATE BY <br /> METER NO SIZE #1 BACKFLOW DEVICE SERIAL NO:. <br /> RF.NO. - #2 BACKFLOW DEVICE SERIAL NO <br /> BRAND - - MODEL.NO <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF_ LOCKED our BY TSG <br /> REMARKS: 3/4"METER ONLY <br /> _____I dittt._ <br /> ISEWER SERVICE <br /> PERMIT NO SP-16774 PERMIT TYPE NEW CONNECTION LID NO. <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 SEWER CONNECTION <br /> INSPECTED BY: - I DATE' <br /> IFEES I <br /> SEWER UTILITY FEE $70.00 4.1 <br /> SYSTEM DEVELOPMENT FEES $7,962.00 emu <br /> WATER UTILITY FEE $480.00 <br /> AVG ti 2016 <br /> TOTAL FEES $8,512.00 CITY r VERETT <br /> PerOFmtt services <br /> I PERMIT NUMBER U1607-057 <br /> I <br /> ADDRESS COPY <br />