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cm oF�nerr �' „ � �,�� <br /> UTtUTIES �Q PO�TIY� =�`' <br /> PERMIT <br /> Datas 04/22/98 CMfiO /: <br /> S�rvice 11ddr���= 5733 AROADW)1Y 1 �Chenge Requeat <br /> Billinq Nune: RtiR CON3TRUCTION <br /> Billinq 1lddre��: Pt1 HOX 12027 <br /> City, Stata, Lip: EVBRETT WA 98206 <br /> Phonet 360-651-2172 <br /> Leqel De�cription: Lot 3 Blk 0 ]►ddn: SHORx PLt►T 62-96 <br /> P'rontaqa: No. of Unit�: 1 <br /> WATFR SEHVICB <br /> S.O. No. 0 1lpplicntion No. 0 <br /> Fixed: Depc,sit: <br /> Svc. Sica: Svc. Typas Water Permit Feee $0.00 <br /> Setter Inatallatien Date By__ <br /> Moter No. Size Brand+ <br /> Motor Inetallation Date By <br /> Water On Off Locked Out By <br /> Remsrk�:— — �' <br /> 1" SERVICE PURCHASED ON S.G./9493 8/18f97 , <br /> TSC <br /> SSWER SERVICE <br /> rm o. : <br /> Pormit Types NSW CONNECTION L1D No. s <br /> Sewar Parmit Fee: $70.00 <br /> Sy�teme Develonment Fee�= <br /> Water 5482•00 <br /> Sewer 5814.00 <br /> . TOTAL: $1�296.00 <br /> 8ond III Connaction Chnrqes <br /> Lnteral 50.00 <br /> TOTAL: I $0.00 <br /> Remarke: <br /> J <br /> i / <br /> Inepected by ��'i� (�-" - _ Date �"�- !�� <br /> Crand Total: $1366.00 <br /> � <br /> j� � � C � �� � <br /> � �pR " , j��$ Publir. Works Copy <br /> � <br /> ('iTV O} . �..j..�. <br /> ,.f!' _ <br />