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OCT o 6 1s97RECEIVED <br /> CITVOFEVERETT �p ppSTING ��B 0 4 1991 <br /> UTILITIES <br /> PERMIT U7ILITY SERVICES <br /> Datas O1/30/97 �� #0 ' <br /> Change Requee <br /> Servica Addreee: 111 FOREST COURT _-- <br /> Billinq Neme: LANDSVERK STEVEN <br /> Billin9 Addreee: 4315 STRUHME � WA 98012 <br /> Cityr State, 21ps BOTEi338-0159 <br /> Phones <br /> I.�qal Dotcciptions Lot �� Blk 0 Addn: SNONN�Units: 1 <br /> Fronta e: <br /> WATER SERVICE <br /> S.O. No. 9255 Application No. 30796 <br /> F1xed: Y Deposit: N e: SFR Water Permit Fee: 5105.00 . <br /> Svc. Siza: 3/4 Svc. Typ <br /> Sattat Inetallation Date BY <br /> Meter No. �Q G�5�� 91ze 5�(' Brand � ��.(�� <br /> M�t�r in�tallation Data� By w <br /> Watar.On ✓ Off_ Locked out� BY <br /> Ranark�s <br /> TSG <br /> SEWER SERVICE <br /> � Permit Type: NEW CONNECTION LID No. : <br /> Sewer Permit Fee: $70.00 <br /> Syetems Davelopment Feees Water $482.00 <br /> Sewer $814.00 TOTAL: 51,296.00 <br /> Bond III Connection Charge: 0.00 <br /> Lateral 50.00 TOTAL: 50.00 <br /> Remnrks: <br /> In�pected by Dat <br /> �� Grand Total: 51471.00 <br /> � �� �\7�` .' <br /> � .. 3 .:••''� <br /> �C\, O� �o Q•s po <br /> ..G\,�y`\a\�g Utilities Svice Copy <br /> O <br />