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CITY OF EVERETT OCT ,(+ 8 �996' <br /> UTILITIES E '� c OS�fNG _ <br /> PERMIT <br /> Date: 02/O1/96 CMWO �: <br /> Service Addrees: 6416 ELLIOT WY 2 _Change Request <br /> Hilling Name: GAFFNEY JIM <br /> Billing Addreea: 1715 100TH PL SE <br /> City, State, Zip: EVERETT WA 98208 <br /> Phone: 338-2114 <br /> Legal Description: Lot 2 Blk 0 Addn: SHORT PLAT 21-95 <br /> Frontage: No. of Unite: 1 <br /> WATER SERVICE <br /> S.O. No. 0 Application No. 0 <br /> Fixed: Depoait: Water Permit Fee: S0.00 <br /> Svc. Size: Svc. Type: <br /> Setter Inetallation Date BY <br /> Meter No. Size Brand <br /> Meter Inetallation Date BY <br /> Water On Off Locked out_ By <br /> Remarke:— <br /> 3/4" WATER SERVICE PURCHASED 11/28/95 S.O. 8742, AP. 30285 <br /> TSG <br /> . SEWER SERVICE � <br /> ermi o. : tl� <br /> Permit Type: NEW CONNECTION LID No. : <br /> Sewer Permit Fee: S70.00 <br /> Syeteme Development Fees: Water 5482.00 <br /> Sewer 5814.00 <br /> TOTAL: S1,296.00 <br /> Bond III Connection ChargeTrunk 50.00 <br /> Lateral 50.00 <br /> TOTAL: $0.00 <br /> Aemarka: <br /> / j'-/1= fC <br /> Inspected by . �-- Date <br /> Grand Total: S1366.00 <br /> � � � � ✓ <br /> � 5 9 6 <br /> FEB 1 1. 9 <br /> Public Worka Copy <br /> . ........... ................ <br /> CITY OF EVEREI'T <br /> guilding Division <br />