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Cm OF EVERM <br />UTILITIES <br />PERMIT <br />Date: 10/24/97 CMWO 0: <br />Service Address: 3025 BURL PL <br />Billing Name: CUSTOM CRAFT HOMES INC <br />Billing Address: 6502 156TH ST SE <br />City, State, Zips SNOHOMISH WA 98296 <br />Phone: 338-2064 <br />Change Request <br />Legal Description: Lot 139 Blk 0 Addn: VALLEYVIEW <br />Frontages No. of Unite: 1 <br />WATER SERVICE <br />S.O. No. 9558 Application No <br />Fixed: Y Deposit: <br />Svc. Size: 3/4 Svc. Type: SFR <br />Setter Installation Date By_ <br />Meter No. Size Brand_ <br />Meter Installation Date By___ <br />Water On Off Locked Out_ By_ <br />Remarks:— — <br />TSG <br />SEWER SERVICE <br />erm o.: JIJUb <br />Permit Types NEW CONNECTION LID No.: <br />Systems Development Fees: <br />Water $482.00 <br />Sewer $814.00 <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Remarks: <br />Inspected by <br />Date <br />$0.00 <br />$0.00 <br />31101 <br />:later Permit Fee: <br />Sewer Permit Fee: <br />TOTAL: <br />TOTAL: <br />Grand Total: <br />l -ice <br />$70.00 <br />$1,296.00 <br />$0.00 <br />1 $2016.00 <br />Treasurer Copy <br />