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UTILITIES CITY OF EVERETT <br /> ,� RECEIVED PERMIT SERVICES <br /> PERMIT MAR 0 1 208 <br /> 3200 CEDAR STREET <br /> ditto C.,•5�/ UTILITY SERVICES EVERETT,WA 98201 <br /> 13 (425)257-8810 <br /> PERMIT NUMBER U1708-079 DATE <br /> JOB ADDRESS 4512 29TH AVE SE LEGAL DESCRIPTION LOT OF THE PLAT OF THE TOWNS <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM DI 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 /> I . <br /> 0.00 L <br /> SETTER INSTALLATION DATE - BY. /. <br /> METER NO./6174!/ l/3�d 242--SIZE 5/E1 #1 BACKFLOW DEVICE SERIAL NO. <br /> BY NO �/I litJ #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND ',(Y 74 i4e___. MODEL NO. <br /> METERISTALLATION DATE ! r1/ -/O{//�BY <br /> WATER ON -LAOFF LOCKED OUT BY TSG <br /> 3/4"METER ONLY <br /> REMARKS <br /> SEWER SERVICE <br /> PERMIT NO. 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 SEWER CONNECTION <br /> INSPECTED BY: I DATE <br /> I FEES I <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOMPMENT FEE WAT] $4,812.00 #. --,-.4...Q52 , <br /> SYSTEM DEVELOPMENT FEE SEWEI $7,172.00 POSTING ' , ,.... .,I =' <br /> WATER UTILITY FEE $500.00 Oil <br /> `- 27 2018 <br /> CITY 0p E17, T <br /> TOTAL FEES $12,554.00 0,-,,— <br /> IPERMIT NUMBER U1708-079 I <br /> UTILITIES COPY <br />