Laserfiche WebLink
tTILITIESTY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1607-061 DATE: $ - Z—((t0 <br /> JOB ADDRESS 4408 29TH AVE SE LOT 129 LEGAL,DESCRIPTION LOT OF THE PLAT OF THE TOWN, <br /> DESCRIPTION 3/4"WATER METER,NEW SEWER CONNECTION, SYSTEM 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 /> WATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITSSERVICE ORDER NO. APPLICATION <br /> IC 1ON NO. <br /> 3/4" SFR SO-13718 8711 <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 OUT BY TSG <br /> REMARKS: 3/4"METER ONLY <br /> SEWER SERVICE <br /> I I <br /> PERMIT NO. PERMIT TYPE. 1.'LID NO: <br /> SP-16778 NEW CONNECTION <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 /> • <br /> INSPECTED BY:-: - I DATE: <br /> FEES ` , I_ <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENT FEES $7,962.00 AUG 0 2 2I 1S <br /> WATER UTILITY FEE $480,00 <br /> CITY OF FVERET <br /> Permit Services T <br /> TOTAL FEES $8,512.00 <br /> PERMIT NUMBER U1607-061 I <br /> T( nSirlkG 3 ( <br /> ADDRESS COPY <br />