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� <br />� <br />,4PR 2 5 1991 <br />CITVOfEVEREYT TO P�;�•',�' -"- <br />UTlf�.l`�ICS <br />PEkiM17 <br />Dake: 01/15/97 cHWo f: <br />Service Addreee: 8014 BEVEItLY BLVD (C) _change <br />Billing Nemes WELCH'S COIVSTRUCTION <br />Hilling Addreee: 6322 76TH UR SE <br />City� State, Zip: SNOHOMISH WA 98290 <br />Phone: 337-3528 <br />Legal Dbecription: Lot 3 Blk 0 Addn: SNORT PLAT 25-95 <br />Frontager No. of Unite: 1 <br />WATER SERVICE <br />3.0. No. 4235 Application No. 30778 <br />Fixeds Y Depoeit: <br />Svc. Sizes 1 Svc. Type: SFR Water Permit Fee= <br />Setter Inetallation Date By <br />Meter No. Size Brand <br />Meter Inetallation Date gy <br />Wnter On Off Locked out By <br />Remarke:— � — <br />TSG <br />SEWER SERVICE <br />erm o.s <br />Permit Type: NEW CONNECTION LID No.: <br />Syeteme Development Feee: <br />water 5482.00 <br />Sewer $814.00 <br />Bond III connection charge: <br />Trunk <br />Lateral <br />Aemarkes <br />$0.00 <br />$0.00 <br />Sewer Permit Fee: <br />TOTAL: <br />TOTAL: <br />s <br />$130.00 <br />$70.00 <br />51,296.00 <br />50.00 <br />Inepected by Ga�(_l�`�- �ate � P" 9� <br />^� r,� n n Grand Total: $1496.00 <br />� ��uG�� � <br />,n.� �71g9� <br />................. . ............. <br />�iTv O� EV[F±ET',- <br />,".,;i;.. „ Civi�ia:. <br />Public Worke Copy <br />