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4 UTILITIES
<br /> • CITY OF EVERETT
<br /> 1- '. FERMIT SERVICES
<br /> PERMIT=
<br /> " '" 4 3200CEDAR:SIRES T
<br /> EVERETT WA 98201
<br /> hgI33
<br /> :.:; '; ` �.. �.'= (425)257 8810 :_
<br /> PERMIT-NUMBER U 705-042 - DATE::
<br /> JOB ADD 'ss r 4416 31ST AVE SE LEOAT,DESCRI.PTI©N LOT.OF THE PLAT OE THE'DOWN'
<br /> DESCRWTION -3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM Dl -APN 290532001`02300
<br /> O u�ER tPOLYGON WLH LLC TENANT OVERLOOK AT RIVE1 FRONT'
<br /> 11624 SEE 5TH ST SUITE`100 .•.-•:,--,CONTRACTOR POLYGON WLH LLC
<br /> BELLEVUE WA' 98005 11624 SE 5TH ST-SUITE-100 .
<br /> ' BELLEVUE .- WA, 98005
<br /> P1ONE .- ?4255867700 •
<br /> PHONE;
<br /> 4255867700
<br /> ._ ' CATER SE1tVICE -
<br /> SERVICE SIPF SERVICE TYPE FRONTAGE _NO,OFUNITS SERVICE ORDER NO APPLICATION N'O
<br /> DOM/FI .
<br /> -.,..:.,,..-..:,,.:•..---::::-..:::.;3/4.":1• 0.00 SO 14001 = •APP 18990
<br /> BETTEEINSTALLATIONDATE ':-;;11,V;,,,:::-.--_::...--.•.',-•:•::
<br /> e- METER NIJ 9 ' "*�� SIZE-,`• 5/t `.#1 BACKFLOW DEVICE SERIAI.NO' _ -
<br /> kF:.NO - - '#2 BACKFLOW DEVICE SERIAL NO. - -_
<br /> BRAND - .Pi/ / �:. - `•MODEL NO.
<br /> "METER ISTALLA N DATF/O "4/l- ;47BY 'f�
<br /> WATERON_ OFFS_' LOCKEDOUT BY :... - -
<br /> TSG
<br /> REMARKS 3/4"METER ONLY°.
<br /> '-t...::- ..:',-...':„.'1-7--,.-7,..,..:Z- 7,7, -:-1--,--;:-.',--r-L-;;;;:l..-r.,:-7::-:-_,,:.:1,..:7.:;',:'--":-,!: :=7, 12:-,r:.7:7,:'.i.....,,,..,...::,,,....:::.t4.51:;,*;::..i.'
<br /> I
<br /> �WEI�.SERVICE'
<br /> PEREETNO SP 17284 REI T'' NEW CONNECTION LmNO
<br /> REMARKS Please Note The City is responsible for struetur`aldefect in thee side sewer on the CityROW side per EMC 14:08.260:
<br /> NEW CONNECTION
<br /> INSPECTED BY - DATE. - _
<br /> - I
<br /> ;i
<br /> J
<br /> FEES
<br /> SEWERUTILIT`YFEE., $70;00 . ` E
<br /> SYSTEM DEVELOPMElN1T FEES RESII $10,947:00
<br /> WATER UTILITY FEE' $480:00 _
<br /> JUS
<br /> TOTAL,FEES $11,497 00 TYOFEVE{RE .„........:,..:.....,::..i..„..;,,...„,_...„:.,....:„
<br /> 0
<br /> ll ° 92017
<br /> TT
<br /> - -m. Sir�lriCec
<br /> PERMIT NUMBER•-. -....-•,-,-1470$.04 --...-..-_
<br /> UTILITIES COPY "
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