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, . <br /> - . <br /> CITY OFEVERETT <br /> UTILITIES <br /> - . 1-3:•-,-':-,f,-- °--%;x0,- wival.', ' - - PERMIT SERVICES <br /> PERMIT , , ., , 3200 CEDAR STREET <br />, ' ' 'f.•'1';':'----'''''''''"`I'lc-'*--41-ii-1;i,,.. , - ' '. - ' ' . — ' ' ' ' vtizErt WA 98201 '-- '-• • <br /> PERMIT NUMBER - 4.11611:080 - - ' - •= " ' , DATR <br /> - ,• , - - <br /> JOB ADDRESS 4409 30TH DR SE . -, . , LEGAL DESCRIPTION Section32 Township 29 Itattge 05, 0 <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM 13] APR - - 2905300102300 <br /> --- POLYGON,-ON w.1.-,-.,-=11 LLC TENANT RI <br /> OVERLOOK AT VERFRONT <br /> w O\ ER - , - <br /> 11624 SE 5TH ST SUITE 100 CONTRACTOR <br /> ' POLYGON WLH LLC <br /> v <br /> BELLEVUE ' WA 98005 -.. — <br /> 0624 SE 5TH ST SUITE 100 <br /> BELLE VUEWA 98005 <br /> PHONE ' 4255867700 , <br /> B11°NE . 4z55867700 . <br /> • <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OFUNITS SERVICE ORDER NO APPUCADONNO <br /> DOM/FI - ' ' , - 0 00 - - SO-13870 , APP 188, 0- - <br /> SETI'ERThISTALLATION DATE BY <br /> METER NO. ' - SIZE - - ' . ' #113 'CKFL°W DEVICE SERIAL <br /> NO '/4 A <br /> ;1‘ - 6/14 %61/4' - <br /> i,NO .. 0 - ' - , .- - 4/2EACKSLC4 DEVICE SERIAL NOMETER1STALLA )N DATE / /1 BY <br /> WATE1ONi OFF_ LOCKED OUT BY TSG <br /> BRAND MODEL NO <br /> REMANKS 3/4 <br /> SEWER SERVICE <br /> . ' <br /> . . _. <br /> PERMIT Na 5) 17033 - . . . PERMETTYPE NEW CONNECTION <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the'City ROW side per EMC 14.08.260NEW <br /> CONNECTION _ <br /> INSPECTED BY OATh <br /> FEES <br /> llUdYSEWER UTILITY FEE $7000 <br /> SYSTEM DEVELOPMENT FEES $9,910.00 , <br /> WATER UTILITY FEE ' DEC 1 2016 <br /> .. - <br /> 1 TOTAL FEES • $10,460.00 <br /> PERMIT NUMBER U1611-080UTILITIES COPY <br /> , <br /> 1 <br />