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CITY OF EVERETT <br /> �'�**.. 'y }� -* ` UTILITIES_ - - <br /> xF PERMIT:SERVICES <br /> PERMIT <br /> 3200 CEDAR.STREET <br /> `'' ,- EVERETT,WA 98201 <br /> ' .3 71. <br /> Z3 (425)'257-8810 <br /> PERMIT 01802-028.' SATE <br /> JOB ADDRESS 3500.,9 '4. 8LEGAL DESCRIPTION <br /> DESCRIPTION LOT 34 WA.1';1 R,SEWER,SYS:DEV.FEES FOR NEW TOWI'(HC` '.1k.-11..* <br /> OBER POIYGO WLH LLC ` ? `TOWNS=AT RIVERFRONT <br /> 1164 SE 5'TH ST SUITE=100 CONCTOR POLYGON WLH LLC <br /> BFT I:,E _ � <br /> VU WA 913Q05 11624 SE`5TH"STSUITE-•:100 <br /> BELLEVUE WA 98005 <br /> PTONE 4255867700 . , : <br /> PHONE.:: 4255`867700. <br /> WATER SERVICE ' <br /> SERVICE SIZE " ' SERVICE TYPE FRONTAGE NO.OFUNITS - .SERVICE ORDER NO "APPLICATION NO <br /> •3/4" SFR 1.00 SO-.14226 APP-19212 <br /> Shi IbRINSTAhLLL�ATION DATE O' BY <br /> METER NOI.,J Q � �� cr�F 51 !, SI BACKFLOW DEVICE SERIAL NO... <br /> I p2 BACKFLOWDEVICE SERIALNO. <br /> BRAND /�• y-2.4... <br /> G .MODEL NO. <br /> ME•TER ISTALLAT NDATE� "�/c- p "BY £4 _ <br /> WATER ON' LOCKED OUT BY ,.TSG <br /> 3/4"METER ONLX" ,' <br /> s I SEWER SERVICE <br /> PERMIT NO, .. ,SP-17599 s" n PERMIT TYPE NEW CONNECTION LB)NO. _ <br /> . 77 1^l i.YY itli- 1, t <br /> REMARI{Se` Please Notes The City is responsible for structural defects in the side sewer on the City ROW side per 14.08.260 <br /> INSPECTED BY: - I DATE - <br /> FEES I. <br /> :.. . . .' . --..'.' .- -. .-: u.:--- ' . - ' . @ROM '-: ' . - ::::: <br /> SEWER UTILITY FEE <;, $70.00 <br /> SYSTEMDEVELOMPMI NT FEE WAT] $3,866.00 <br /> SYSTEM DEVELOPME1ITFEE:• - $5,763,0 <br /> WATERUTILITYFEE • $500.00 /0",,_.-/../s7...', : - FEB 2 3 2018 <br /> CTTY.OF EUERETT <br /> TOTS FEES $10;199 00. . Permit Services <br /> PERIVII 'NUMBER U1802 028 <br /> UTILITIES COPY <br />