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%� r UTILITIES CITY OF EVERETT <br /> RECEIVED PERMIT SERVICES <br /> PERMIT APR 01 <br /> X018� 3200, CEDAR�sTi�ET <br /> � `- � _ EVERETT;WA 98201 <br /> •3 7/ ,7 UTILITY SERVICES` (425)257-8810 - <br /> PERMIT NUMBER U1803-053 DATE <br /> JOB ADDRESS 3441 31ST DR LEGAL DESCRIPTION <br /> DESCRIPTION LOT 143 WATER;'SEWER SYS DEV FEES FOR NEW TOWNH APN. <br /> OWNER, POLYGON WLH LLC T ANT THE TOWNS AT RIVERFRONT <br /> 11624'SE 5TH ST CONTRACTOR POLYGON WLH LLC • <br /> BELLEVUE WA 98005 11624 SE5TH ST <br /> BELLEVUE WA 98005 ; <br /> PHONE 4255867700 <br /> PHONE 4255867700 <br /> W�TER,$ERVICE ;� <br /> SERVICE SIZE SERVICETYPE: FRONTAGE NO.OF UNITS ` SERVICE ORDER NO" APPLICATION NO <br /> 3/4 I - SFR, <br /> 1,:00 ,50-14259,_' :. APP 1245, <br /> Sh11ER INSTALLATION DATE ,BY. <br /> 'METER`.6-� J1 zyV > S� /� 51 BACKFLOW DEVICE SERIAL NO... <br /> ILP NO •' <br /> yyy ' 82BACKF�AWDEVSCESERIALNO,-: <br /> BRAND / )L MODEL NO <br /> METER ISTALI.ATIONDATI�0" '7:"J BF 4 '3c " <br /> WATER ON_ OFF_ LOCKED OUT BY ' TSG <br /> NEW 3/4"METER'ONLY <br /> SEWER SERVICE <br /> PERMITNo. SP-17648 PERMIT TYPE NEW CONNECTION I LID No. I <br /> REMARIcs: Please Note:The City is responsible for,structural defects in the side sewer on the City ROW side per EMC 14 08:260 <br /> INSPECTED BY: DATE <br /> I _ , <br /> _ . , , _ FEES <br /> SEWER.UTILITY FEE $70.00 , <br /> SYSTEM DEVELOPMENT FEE SEWEF'' $5,763.00 p®A 0 2 2018 <br /> SYSTEM DEVELOPMENT FEE WATEF $3,866.00, APR U <br /> WATER UTILITY FEE $500.00 . <br /> CITY.OF EVERETT <br /> TOP TIN r Permit•Services <br /> LI <br /> TOTAL FEES $10,199.00 <br /> r/5-1/q 19 9a PERMIT NUMBER U1803-053 <br /> I <br /> UTILITY BILLING COPY <br />