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<br /> 1s
<br /> g UTILITIES. ,
<br /> CITY OF EVERETT
<br /> p = PERMIT SERVICES
<br /> PENT 103C ? STREET
<br /> a 7 f21 -894-01 .8 90 O 1 "
<br /> EVE
<br /> _ - . - (425),...-, 8;
<br /> PERMIT NUMBER T11709 026. DATE.
<br /> JOB ADDRESS" 344730TH DR` ,. LEGALDESCRIPTION
<br /> DEscRIPTON LOT 49 WATER, SEWER,•SYS DEV FEES FORNEW'TOWNH( APN.
<br /> OWNER ` POL .664,811: 'i
<br /> GON Wl-I LLC TENANT TOWNS AT RTVERFRONT
<br /> 11624 SE 5TH ST SUITE)00 corrTRACTOR POLYGON WLH LLC
<br /> BELLEVIIE WA 98005 11624"SESTH'ST SUITE°1.00
<br /> BELLEVUE `WA =-X980"05';
<br /> PHONE
<br /> 425586' 700 .. : ., ,_.
<br /> PHONE .."
<br /> 4255867700
<br /> _
<br /> WATER SERVICE;
<br /> SERVICE SIZE SERVICE TYPE FRONTAGE - -�-NO.OF UNITS SERVICE ORDER NO.: APPLICATION NO.
<br /> 3/4 SFR 10Q SO-14139" APP719128
<br /> I
<br /> SETTER INSTALLATION DATE j► $�..��.;,//r/� _
<br /> METER NO/6'/, '(l�id - SIZE /4 :. _
<br /> _ `" - #1 BACKFI:OW DEVICE.zSERIAL NO. _
<br /> R'E.NO. -W SLBACKFLOW DEVICE.SERIAL NO -> .
<br /> HRgNO '/.Q i ,.,.- I�' _
<br /> METER ISTALLATION DATE a BI' /' - - _
<br /> :..i-:t--_,.:.:,.;i:._..-•-:•y.-'.:.,,-::..:-..-.:,.-:.-.,,:::--:„-:::--.:(:::.'.:;-!-•'•':,1.._-.;-...:':;-i:--.'::.:.:..--;.:-.:'i::':,:„.-:,:'-:-i-.;!-,,...7„.:.::..:•'l.:-':::.-::....•.:-,,:-:,.-.-„',..,.r-..:'.:.•-::..'...,.'-•-.,:.._:.z:.-:-j-.-:.'.T.-,--i.-,:,:.,.:f--..,.-,:.;-:..,;:....•-,.,-..-.;•...:,:,.',-::.,....1--.,-':..'..:',-,::,.'::•-1''-..;•'-I:::-::';.:;1'i„-•-:''•:.'--,-,::,-••'..-..-:::--::...-..::,-:.„:..'-
<br /> "WATER ON__�OFF LOCKED OUT BY - _
<br /> 3/4 METER ONLY
<br /> -REMARKS ,':
<br /> ISEWER SERVICE
<br /> PEREUTNO 'n 4i40417PERMITTYPE NEW CONNECTION .,LII)NO. _
<br /> < W
<br /> ,
<br /> REMARKS: Please Note The City1s responsible for structural defects in the side sewer on the City ROW side per EMC 14 08.260
<br /> INSPECTED BY -
<br /> DATE:
<br /> FEES h
<br /> SEWER UTILITY FEEl''''''''''-'.?';'''"
<br /> .$70.Q0 '
<br /> SYSTEM DEVELOPMENT FEES;RESII $9 629".00
<br /> WATER UTILITY FEE $500.00 z k. 3 Il �,�� '",0 201
<br /> • t
<br /> CITY OF EVERETT
<br /> permit"Services.. . .
<br /> TOTAL FEES $10,199 00
<br /> PERMIT NUMBER-` UI709-026
<br /> TJTILITIFS COPX
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