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� n ,rw e Y �r <br /> CI7Y OF EVERETT TO Pll�C�^� ^�"' •� -- <br /> UTILITIES <br /> PERMI7 <br /> Dates 06/17/96 CMWo #: <br /> Service Addreee: 112 FOREST CT _Change Requeet <br /> Billinq Name: WEFKS BARB <br /> Billing Addreees SC04 SEAHURST AVE <br /> City, State, Zip: E��47-4083 WA 98203 <br /> Phone: <br /> Legal Deecription: Lot 9 Blk 0 Addn: SNI�NNof Unite: 1 <br /> Frontage: <br /> WATER SERVICE _ — <br /> S.O. No. 8996 Application ��'o. 30539 <br /> Pixeds Y Depoeit: Water Permit Fee: 5105.00 <br /> Svc. Size: 3/4 Svc. Type: SFR <br /> Setter Inetallation Date BY <br /> Meter No. Size Brand <br /> Meter Installation Date BY <br /> Water On Off_ Locked Out_ BY <br /> Remarke:— <br /> TSG <br /> SEWER SERVZCE <br /> erm o. : <br /> Pecmit Type: NEW CONNECTION LID No. : <br /> Sewer Permit Fees 570.00 <br /> Syeteme Development Fees: Water S600.00 <br /> Sewer S1,013.00 <br /> TOTAL: S1,613.00 <br /> Bond III Connection CharqeTrunk S0.00 <br /> Lateral S0.00 TOTAL: $0.00 <br /> Remarke: <br /> Inspected by <br /> � `� Date �J�/ <br /> ^ � rand Total: $1788.00 <br /> Or� 1 N ��,�qq6 <br /> � ..• • <br /> OF �n�P��n. <br /> .,..G�O�`\�`��� Public Worke Copy <br />