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� <br />� <br />CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />"� �OSTI Pf G ^uc o 9 ,ss� <br />9 '.. <br />Date: 12/'_7/96 CMWO /: � <br />Service Addreaes 8010-C BEVERLY BLVD _Change <br />Billing Name: WEST COAST INC <br />Billinq Addreees 1810 COLBY AVE <br />City, State, 21pi EVERETT WA 98201 <br />Phones 252-2500 <br />Legnl Daecription: I�ot 4 Blk 0 Addn: 5P 25-95 <br />Frontage: No, of Unite: 1 <br />WATER SERVICE <br />S.O. No. 9224 Application No. 30767 <br />Fixed: Y Depoeits N <br />Svc. Sizes 1" Svc. Type: sFA <br />setter Inetallntion oate By <br />Meter No. S'_ze Brand <br />Meter Inetallation Date gy <br />Water on off Locked out By <br />Remarke:— — — <br />SPRINRLEAS REQUIRED <br />TSG <br />SEWER SERVICE <br />erm o.s <br />Permit Type: NEW CONNECTION LID No.: <br />Syeteme Develapment Feee: <br />water $482.00 <br />Sewer S814.00 <br />Hond III Connection Charge: <br />Trunk <br />Lateral <br />Remarkes <br />50.00 <br />50.00 <br />Inepected by �(�e��(i�N.y Date �-1¢- <br />����� <br />oG <br />��,_,� g � 19g6 <br />Water Permit Fre;� $130.00 <br />Sewer Permit Fee: <br />TOTAL: <br />TOTAL: <br />$70.00 <br />51,296.00 <br />50.00 <br />Grand Total: � 51496.00 <br />G`Qu,`a n�j 'Q v�Eo � Public Worke Copy <br />