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di <br /> I'I'I I ilY OF EVERETT <br /> r , <br /> CITIES <br /> ,, PERMIT SERVICES <br /> 7, PERMIT <br /> 3200 CEDAR STREET <br /> EVEREU,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER. U1710-013 DATE � � !6//; <br /> JOB ADDRESS 3008 34TH PL LEGALDESCRIPTION <br /> DESCRIPTION LOT 20 WATER,SEWER,SYS DEV FEES FOR NEW TOWNI-I( APN:,'. <br /> OWNER POLYGON WLH LLCTENANT <br /> ` TOWNS AT RIVERFRONT °= <br /> 11624 STI=IST SUITE 100 <br /> 11624 SE UE WA 98005 CONTRACTOR POLYGON WLH LLC <br /> 11624 SE 5TH ST SUITE 100 <br /> PHONE BELLEVUE WA 98005 <br /> 4255867700 <br /> PHONE 4255867700 <br /> ( WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE' NO OF UNITS <br /> SERVICE ORDER NO. ' APPLICATION NO. <br /> I <br /> 3/4" <br /> SFR <br /> R <br /> 1.00 . SO-14161 APP-19150 <br /> SETTER INSTALLATION DATE BY <br /> METER NO SIZE '�- #1 BACKFLOW DEVICE SERIAL NO. <br /> RF NO <br /> #2 BACKFLOW DEVICE SERIAL NO.- <br /> BRAND <br /> MODEL NO. - ,METER ISTALLATIONDATE BY <br /> WATER ON_ OFF LOCKED OUT BY <br /> TSG <br /> REMARKS: 3/4 INCH METER ONLY <br /> SEWER SERVICE <br /> PERMIT NO. SP-17499 PERMIT TYPE <br /> NEW CONNECTION I LIDNO. I, <br /> REMARKS: 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. :. J {DATE: <br /> FEES <br /> SEWER UTILITY PEE $70.00 L "cg <br /> SYSTEM DEVELOPMENT FEES-RESII $8,796.00 (-� <br /> WATER UTILITY FEE $480.00 OCT 1 3 20i7 <br /> CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $9,346.00 <br /> I<,PERMIT NUMBER U1710-013 <br /> I <br /> TPOSOTING I NG 4 2-3� r A ADDRESS COPY <br />