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, , <br /> CITYOFEVERETT �'(,�, r��STINGi� <br /> UTILITIES ` <br /> PERMIT <br /> Date: 08/07/95 CMWO /: <br /> Service Addrees: 4703 GLENHAVEN DR Change Request <br /> Hilling Name: BROKAW gpgERT <br /> Billin9 Addresa: PO BOX 254 <br /> City, State, Zip: EVERETT WA 98206 <br /> Phone: 259-6543 <br /> Legal Deacription: Lot 1 Blk 0 Addn: SP /].202-21-84 <br /> Frontage: No. cf Unite: 1 <br /> WATER SERVICE <br /> S.O. No. 8664 Application No. 30207 <br /> Fixed: �Y Depoeit: N <br /> Svc. Size: 3/4 Svc. Type: SFR Water Permit Fee: <br /> $650.00 <br /> Setter Inetallation Date gy <br /> Meter No. Size Brand <br /> Meter Inetallation Date _ gY <br /> Water On Off Locked Out gy <br /> Remarke:— — --� <br /> TSG_ <br /> ermi o. : '�p�— SL"�R SERVICE <br /> Permit Type: NEW CONNECTION LID No. : <br /> Syetema Development Feee: Sewer Permit Fee: $70.00 <br /> • Water $600.00 <br /> Sewer $1,013.00 <br /> TOTAL: $1,613.00 <br /> Bond iII Connection Charge: � <br /> Trunk S0.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarka: <br /> Inepected by �� _sr?' Date S'-� ;-�'� <br /> Grand Total: $2333.00 � <br /> Public Worke Copy <br />