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/se 5c(_#,Ff_y 7 f-e.5 (0.7_/0 -.?7 to,le_ <br /> CITY OF EVERETT <br /> UTILITIES <br /> PERMIT <br /> II <br /> Date: 12/05/97 CMWO #: f ,,...4.4 a u <br /> Service Address: 4909 CHINOOK DR _Change Request <br /> Billing Name: POTTER STEVE / <br /> Billing Address: 8330 11TH DR W 4TS <br /> City, State, Zip: EVERETT W 98204 <br /> Phone: W7.s-513-0253 -= tsrxc '& <br /> Legal Description: Lot 6. Blk 0 Addn: BEGISSOUNDVIEW TRACTS <br /> Frontage: No. of Units: I <br /> WATER SERVICE <br /> S.O. No. 9599 Application No. 31142 <br /> Fixed: Y Deposit: <br /> Svc. "Size: 3/4 Svc. Type: SFR Water Permit Fee: $650.00 <br /> Setter Installation Date /,- ci' By 6' (,,,o,4 <br /> Meter No. 6-f7Q68Yd( Size s Brand <br /> Meter Installation Date f--2$ `j. By <br /> Water On Off Locked Out\ By e <br /> Remarks• <br /> � � <br /> /11 <br /> T SG / �g-g. 1 j <br /> 666 V��Cx <br /> SEWER SERVICE <br /> Permit No. . ilibU <br /> Permit Types NEW CONNECTION LID No. : <br /> Sewer Permit Fee: $70.00 <br /> Systems Development Fees: <br /> Water $600.00 <br /> Sewer $1,013.00 <br /> TOTAL: $1,613.00 <br /> Bond III Connection Charge: <br /> Trunk $0.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarks: <br /> Inspected by Date <br /> �_. r n T+tal: $2333.00 <br /> ta s <br /> I <br /> i-td Utilities Copy <br />