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4512 RIVERFRONT BLVD 2019-03-14
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4512 RIVERFRONT BLVD 2019-03-14
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Last modified
3/14/2019 4:35:15 PM
Creation date
3/14/2019 4:35:10 PM
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Address Document
Street Name
RIVERFRONT BLVD
Street Number
4512
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UTILITIES CITY OF EVERETT <br /> ,w... <br /> PERMIT SERVICES <br /> PERMIT <br /> 3200 CEDAR STREET <br /> D 37 p b (425)EVE(425) WA 98201 <br /> 257-8810 <br /> PERMIT NUMBER U1708-072 DATE: <br /> JOB ADDRESS 4512 RIVERFRONT BLVD LEGAL DESCRIPTION <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM Dl APN <br /> OWNER POLYGON WLH:LLC TENANT <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 /> WATER SERVICE <br /> I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 3/4" SFR 0.00 SO-14154 APP-19143 <br /> SEI IER INSTALLATION DAT <br /> E� / BY <br /> � <br /> METER NC/3 p e)4✓�, V SIZE /r #1 BACKFLOW DEVICE SERIAL NO. <br /> 12.NO. /�// # #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND /�r,, // .C.-• y�..�J ��. MODEL NO: <br /> METER ISTAI LATI DATE (,_"-/..../t BY / Laa✓ <br /> WATER ON V" OFF LOCKED OUT BY - TSG <br /> 3/4"METER <br /> REMARKS TOos #�;e" - <br /> I SEWER SERVICE I <br /> PERMIT NO SP-17490 PERM".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 CONNECTION <br /> INSPECTED BY: I DATE: <br /> I FEES <br /> SEWER UTILITY FEE $70.00 11 Z a tid3 6 <br /> SYSTEM DEVELOPMENT FEES-RESII $11,984.00 <br /> WATER UTILITY FEE $500.00 JAN 16 <br /> 2n/n <br /> CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $12,554.00 <br /> PERMIT NUMBER U1708-072 <br /> UTILITIES COPY <br />
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