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UTILITIES OF EVERETT <br /> ,% ''� RECEIVED PERMIT SERVICES <br /> d PERMIT <br /> , 3200 CEDAR STREET <br /> MAR 0 8 2018 EVERETT,WA 98201 <br /> 3 7L5-6". 425 257-8810 <br /> lit!11TY SERVICES <br /> PERMIT NUMBER U1801-024 DATE <br /> JOB ADDRESS 4514 29TH AVE SE LEGAL DESCRIPTION ' <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM DE APN: 00574700100102 <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 /> I I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE - NO OF UNITS SERVICE ORDER NQ APPLICATION NO <br /> 3/4" SFR 0.00 SO=14207 APP-19196 <br /> SEI 1ER INSTALLATION DATE BY (/�/X/� <br /> METERN(/ 'x$1/9 7-£-/-56 SIZE 671 - #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO re _ / #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND ,&J p�1 `I _...�- - MODEL NO. <br /> METER ISTALLA DATF,/V I /�j • 1'1; Y!r f� <br /> WATER ON OFF_-LOCKED OUT BY - - - TSG <br /> 3/4"METER ONLY <br /> REMARKS: <br /> SEWER SERVICE <br /> I <br /> PERMIT NO. PERMIT TYPE NEW CONNECTION I.. <br /> SP-17579 L LmNo. <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 BATE <br /> FEES 1 <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOMPMENT FEE WATT $4,812.00 <br /> SYSTEM DEVELOPMENT FEE SEEI $7,172.00 cc qq <br /> WATER UTILITY FEE $500.00TO A� 0 U 20! <br /> 8 <br /> WCITMY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $12,554.00 <br /> IPERMIT NUMBER U1801-024 I <br /> UTILITIES COPY <br />