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�� :`I Y OF EVE ®� 'TT
<br /> s
<br /> LITIE S
<br /> ru PERMITERVICE
<br /> PERMIT
<br /> � 200_CED`AR STREET
<br /> EVERETT,WA 98201
<br />:_,,::,.......,::_4471"flm..-,;,„;.,,,.,. ..7 7,,,,,,,-.::,,,-;:.:,z;,.,:it-,
<br /> . : - ,.. 425)25-`7 881y0
<br /> PERMIT.MIMBER U1705-033 DATE= Q 9 �I1 2 1
<br /> JOB ADDRESS ; 4419 3QTH DR SE LEGAL DESCRIPTION Section 32 Townshiu 29 Range 05 4
<br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM Dl • APN 29053200102300
<br /> ,,,,=., ,,,..,:7..„-,..,:,,.. POLYGON WLH LLC ' :,:'.-:. ,1,r.:::::::,,: -.: :::::::,
<br /> TAx T
<br /> OVERLOOK,AT RIVERFRON,
<br /> 11624 SE 5TH ST'SUITE:_100
<br /> BELLEVUE WA' 98005 co`NTxnczoR ::-..,:::-,:-.4..,44'$!•:,.-:_7•-:,:-.,..
<br /> OI,YGON WLH I,LC
<br /> � 11624 S�5TI=I S2=S171TE100
<br /> BELLEVUE WA 98005
<br /> PHONE.
<br /> 42$58677QQ
<br /> ' PHONE; 4255867700
<br /> WADER SER CE
<br /> SERVICE SIZE . SERVICE i-,1_,,,,.:-,-.
<br /> - FROISTAGE :NO OF-UNIT'S - SERVICE ORDER NO APPLICATION NO
<br /> 3/4" DOM/FI 0 00 �O 13999 APP 18988
<br /> SE.TIERINSTALLATIOPIDATE . .BY.:� - _ -
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<br /> .., ,:_,. -„.,•:,-._:--).:7.':-...,-,-:;:!-:•-ts",,,,:::.'.. --::::---5,.:::
<br /> METER NO _ - - SIZE - ....:BI$ACKFLOW DEVICE SERiALNO ,` _ -
<br /> RP NO - 'y{2BACKFLAW DEVICE,SER1AS.NO. -
<br /> - - -
<br /> ,;: :MODEL NO.'
<br /> METERYSTALLATION DATE BY
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<br /> TERONOAF -'iLOCBEDOD'[ BY - : :TSG,
<br /> REMARKS 3/4'METER ONLY''
<br /> ' SEWER SERVICE. I
<br /> PERMITNO ..SP 17282 PERSETTYPE NEW CONNECTION :LIDNO
<br /> REMARKS: Please Note The.City is responsble for structural defects m the side sewer on,the City ROW s%de per EMC 14 08 260'
<br /> NEW CONNECTION
<br /> INSPECTED BY -
<br /> ' FEES
<br /> w
<br /> i SEWER UTILTf'FEE $70 00
<br /> SYSTEM DEVELOPMENT FEES=RESIT $10 947 00 �
<br /> WATERUTILITY FEE-'.` $480.00 !!��
<br /> JUN 0 2011
<br /> CITY OF EVERETT
<br /> ::.!,,:.-..:::4,64.1. -..:-'_.:,.7:-.-:: ::-.
<br /> OTAL FEES $11,497 00 Permit Services
<br /> PERMXT NUMBER UI705 033
<br /> ADDRESS•COPY
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