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�� � k��! ING 1:'�G O Q i�'�5 <br />CIN OF EVERETT S' ' <br />UTILITI�S <br />PERMIT <br />Date: 07/20/95 CMWO #`: I <br />:,ervic^ Addreas: 9002 W MALL DR _Change Request <br />Billin� Name: SELECT HOMES INC <br />Billing Address: 12811 8TH AVE W A�-201 <br />City, State, Zip: EVERETT WA 98204 <br />Phone: 513-9006 <br />Legal Deecription: Lot 26 BJk 0 Addn: ARBOR GLEN <br />Frontaye: No. of Unita: <br />WATER SERVICE <br />S.O. No. 8647 Application No. 30190 <br />Fixed:�Y Uepoeit: <br />S�vc. Size: 3/4 Sv�. Type: RES <br />Sfltter Inetallation Date HS' <br />Meter No. Size Brand _ <br />Meter Inetallatior Date BY <br />Water On Off Locked Out_ By <br />Remarke:— — <br />TSG <br />SEWER SERVICE <br />ermi o.: <br />Permit Type: NEW CONNECTION LID No.: <br />Syeteme Development Feee= Water 5482.00 <br />6ewer $814.00 <br />Hond III Connection charge: <br />Trunk <br />Lateral <br />Remarks: <br />$330.00 <br />$0.00 <br />1 <br />Water Permit F'=e: <br />Sewer Permit Fee: <br />TOTAL: <br />TOTAL: <br />$105.00 <br />$70.00 <br />$1�296.00 <br />$330.00 <br />�' v� �-� <br />� �� � <br />^ rand Total: $1801.00 <br />�\ \ � � ��s � J <br />v `, ,,, � ��1, .. <br />(v..��� �,U J`S��p <br />'�� �,\9U����p�?, Public Works Copy <br />i <br />