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UTILITIES <br /> CITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT <br /> 3200 CEDAR STREET <br /> _. i_z EVERETT,WA 98201 <br /> Q f �� (425)257-8810 <br /> PERMIT NUMBER U1801-029 DATE <br /> JOB ADDRESS 4331 RIVERFRONT BLVD LEGAL DESCRIPTION Section 32 Townshil)29 Range 05 01 <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION, SYSTEM DI APN: 29053200102300 <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 /> IWATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO. APPLICATION Na <br /> 3/4" SFR 0.00 SO-14210 APP-19199 <br /> SETTER INSTALLATION+ DATE BY <br /> METER NO/:-+ 4/7't�'� SIZE /g <br /> #1 BACKFLOW DEVICE SERIAL NO. <br /> IIF NO 1.1I #2BACKFLOWDEVICE SERIAL NO. <br /> BRAND �.P' "--)-e- MODEL NO. <br /> METER ISTALLATION DATE'$`2bf' BY 2-4" <br /> WATER ON'FF_ LOCKED OUT BY TSG <br /> 3/4"METER ONLY <br /> REMARKS <br /> /14.„...1( <br /> Tpiet, ir __.1.../lb <br /> IT <br /> SEWER SERVICE <br /> I. <br /> PERMITNO. SP-17583 PERMITTYPE NEW CONNECTION mmxo. I <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 BYi - I DATE <br /> IFEES 1 <br /> SEWER UTILITY FEE $70.00 U 2 <br /> SYSTEM DEVELOPMENT FEE SEWEI $7,172.00 ry qp <br /> SYSTEM DEVELOPMENT FEE WATEF $4,812.00 MAR 0 6 `018 <br /> WATER UTILITY FEE $500.00 U <br /> CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $12,554.00 <br /> PERMIT NUMBER U1801-029 <br /> UTILITIES COPY <br />