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<br /> - r.ILITIES_
<br /> TY OF EERETT
<br /> + PERMIT SERVICES
<br /> PERMIT
<br /> g �f,' 3200 CEDAR STREET
<br /> EYERET 'WA 98201 `+f
<br /> - (425)25T 88L0.
<br /> PERMIT NUMBER U1608 008. .DaTE '-I(Q =Ci4-
<br /> JOE ADDRESS 4324 29TH DR SE LOT 111 LEGALDESCRIPTIONLOT OF.:THE PLAT OF THETOWN`
<br /> DESCRIPTION 3/4"METER ONLYNEWSEWERCONNCION
<br /> , YSTMDl API
<br /> 290R532002300
<br /> . r , , N
<br /> :WER POLYGONWLHLLC TENAr OVERLOOKATERONT
<br /> 11°624 SE'5TH ST SUITE 100 ,: ' coNT iAcTOR?"
<br /> BELLEVUE WA 98005 POLI''GON WLII LLC
<br /> 11624 SE 5TH ST SUITE 100
<br /> BELLEVUE =-WA- 9"8005
<br /> PHONE .4255867700
<br /> PHOS 4255867700
<br /> WATER SEliVICrE y;
<br /> SERVICE SIZE' " SERVICE TYPE FRO NTAGE-'" NO OF UNITS - SERVICE ORDERNO- APPLICATION NO -
<br /> -,3'/417-'-----',-±:::-:.•-':''''' `SFR 0:00 I50-13727 APP 18720
<br /> 'SETTER INSTALLATrON DA rE BY - - _
<br /> : 7 �
<br /> }` L
<br /> METER NO, "SIZE #IBAC$FL;OW DEVICE�`SERIAL NO . -•
<br /> R'F NO - - JO BACKFLOW DEVICE SERIAL NO
<br /> BRAND _ MODEL NO. - -
<br /> METERJSTALLATION DATE BY - .?'7' - _ - _
<br /> WATERON OFF LOCKED"OUT -BY .TSG - 7 'V
<br /> 'REMARKS •3/4"METER ONLY - `" �,:
<br /> ISEW1 R SERVICE
<br /> PERMIT NO r • PERMIT TYPE
<br /> SP 16785 NNECTION I"LIDIJO
<br /> NEW C® :
<br /> RticatiI S Please Nolte Th'e City is responsible;for structural defects in the s►de sewer on the.City ROW side"per EMC 1408260!,y
<br /> r _
<br /> NEW SEWER CONNECTION
<br /> INSPECTED BY - ; - ") -bA•i•!?
<br /> FEES R
<br /> SEWER UTILTTYFEE $30 00
<br /> SYSTEM DEVELOPMENT FEES; $7 962 UQ
<br /> WATER UTILITY•FEE $480.0.,,;.,..„„:,...-,-,-...:: :-...-„.,,---,,.:,,.,...-:-,..-.-:,,,,-..:,,,...„:„,.... ...,..:„...:...../.6.1...tort..„..„.,,,...„..,....:::.,„ ...,,,,:„::,..y::,..::.:.,,..:::Hr...i::.:::z...,........,,.„.,..::,....„...„ :.:„.....,„.._:......,...,,,,.,;;,,.;„.0
<br /> -
<br /> c
<br /> P' ; AUG 1 G 2Qfi6
<br /> - ."-_..,e. ITY F EVERETT
<br /> TOTAL FEES $8,472 00 P..,rep-1 t S 4t::
<br /> PERMIT NUM_ BER U160 008 I
<br /> ..
<br /> ADDRESS COPY
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