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4508 29TH AVE SE 2019-03-15
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4508 29TH AVE SE 2019-03-15
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Last modified
3/15/2019 8:10:41 AM
Creation date
3/15/2019 8:10:27 AM
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Address Document
Street Name
29TH AVE SE
Street Number
4508
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UTILITIES CITY OF EVERETT <br /> ,,,,/,` <br /> ` '� PERMIT SERVICES <br /> PENT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> y:03 -7083 (425)257-8810 <br /> PERMIT NUMBER U1708-065 DATE: <br /> JOB ADDRESS 4508 29TH AVE SE LEGAL DESCRIPTION LOT OF THE PLAT OF THE TOWN: <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM Dl 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 <br /> SERVICE SIZE - SERVICE TYPE FRONTAGE - NO OF UNITS - SERVICE ORDER NO. APPLICATION NO. <br /> 3/4" SFR 0.00 SO-14150 APP-19139 <br /> SETTERINSTALLATIONDATE 7 4I /� <br /> �METER NO/.cIf g I-1642. ' SIZE /(/ #1 BACKFLOW DEVICE SERIAL NO. <br /> RENO 1/ #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND /V`Z � I �!&, ) MODEL NO... <br /> METER ISTALLATION DATE 5-/ 6EY 1/2.4., <br /> WATER ON OFF LOCKED OUT BY - - TSG <br /> 3/4"METER <br /> REMARKS <br /> ISEWER SERVICE _ I <br /> PERMIT No: SP-17483 - - PERMIT TYPE- NEW CONNECTION I LID 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 CONNECTION <br /> INSPECTED BY: I DATE: <br /> FEES <br /> usSEWER UTILITY FEE $70,00 '0 <br /> SYSTEM DEVELOPMENT FEES-RESII $11,984.00 <br /> WATER UTILITY FEE $500.00 ,�QN U. �E �® <br /> CI Pe IOFn it S VERETT <br /> ervlces <br /> TOTAL FEES $12,554.00 <br /> PERMIT NUMBER U1708-065 <br /> T I ® UTILITIES COPY <br />
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