Laserfiche WebLink
pr I CITIES TY OF EVERETT <br /> ,„' '; PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1607-060 DATE: S- 2.- I W. <br /> JOB ADDRESS 4410 29TH AVE SE 128 LEGAL DESCRIPTION <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM Dl APN: 00574700100102 <br /> OWNER POLYGON WLH LLC TENANT OUTLOOK 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 <br /> SERVICE SIZE - SERVICE TYPE- -FRONTAGE - NO OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 3/4" SFR 0.00 SO-13717 APP-18710 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE #1 BACKFLOW DEVICE,SERIAL NO. <br /> R.F.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 /> ISEWER SERVICE <br /> PERMIT NO. SP-16777 <br /> PERMIT <br /> NEW CONNECTION L.IID No 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 BY:- I DATE. <br /> FEES <br /> 1 <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENT FEES $9,910.00 ,a., 31 ' <br /> WATER UTILITY FEE $480.00 <br /> AUG 0 2 2015` <br /> TOTAL FEES $10,460.00 CITY OF EVERETT <br /> IPERMIT NUMBER U1607-060 I <br /> TO POST 3 ADDRESS COPY <br />