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� <br />� <br />. � �-. , , . <br />� � .���;:��: <br />:;ITY OF EVERETT <br />UTILITIES <br />PERAAIT <br />Date: 07/28/95 CMWO #: <br />Serviae Addrees: 8823 W MALL DR <br />Billing Name: SELECT HOiiES INC <br />Billing Addreee: 12811 8TH AVE W A-201 <br />City, 5tate, Zip: EVERETT WA 98204 <br />Phone: 513-90�5 <br />�` �"3�TINE �'9A°� ��� 1'�96 <br />Change Request <br />Legal Description: Lot 14 Blk 0 Addn: ARSOR GLEN <br />Frontage: No. of Units: 1 <br />WATER SERVICE <br />S.O. No. 8655 Applica•cion No. 30.148 <br />Fixed: Y Depoeit: <br />Svc. Size: 3/4 Svc. Type: RES <br />Setter Inetallation Date B� _ <br />Meter No. Size Brand <br />Meter Znetallation Date _ BY <br />Water On Off_ Locked Out__ By <br />Remarke:— <br />TSG <br />_ SEWER SERVICE <br />Permi o.: <br />Permit Type: NEW CONNECTION LID No.: <br />Systeme Development Fees: <br />Water <br />Sewer <br />Bond III Connection ChargeTrunk <br />Lateral <br />Remarke: <br />Water Permit F�e: <br />Sewer Permit Fee: <br />$600.00 <br />$1,013.00 TOTAL: <br />$3$0.00 <br />TOTAL: <br />I S <br />Inepected ,z Date /-:-��i/� <br />� <br />� � � �� �� � Grand Total: <br />� �i <br />h�!\� � 1 199� <br />CITV O� "=�EREIZ <br />�uildin9 Urvision <br />$105.00 <br />570.00 <br />$1,613.00 <br />$330.00 <br />$2118.00 <br />P�b1ic Works Copy <br />