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�ILLTIES QTY OF EVERETT <br /> PERMIT SERVICES <br /> -' .. PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT'-'WA 98201 <br /> , <br /> (425)257-8810 <br /> PERMIT NUMBER U1608-001 DATE: F),... t -`(p <br /> JOB ADDRESS 4412 29TH AVE SE LOT 127 LEGALDESCRIPTION LOT OF THE PLAT OF THE TOWN; <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM D] 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 UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 3/4" SFR 0.00 SO-13723 APP-18716 <br /> SI,!II;R INSTALLATION DATE BY <br /> METER NO. - - SIZE-5 - #1 BACKFIAW 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 I <br /> PERMIT NO. SP-16780 PERMITTYPE NEW CONNECTION LID N° <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 /> az <br /> FEES <br /> SEWER UTILITY FEE $ °�'� <br /> $70.00 Ls) 1 a <br /> SYSTEM DEVELOPMENT FEES $7,962.00 <br /> WATER UTILITY FEE $480.00 <br /> AUG 16 20'S/ " <br /> CITY TT <br /> PermitOF Services <br /> TOTAL FEES $8,512.00 <br /> PERMIT NUMBER U1608-001 <br /> TOR `flW I f <br /> ADDRESS COPY <br />