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� <br />� <br />CITY OF EVERETT <br />UTILITIES <br />PERAAIT <br />DatE: 10/13/97 CMWO /: <br />Service Addreae: 3516 HOYT AVE <br />Billing Name: BRIDGHAM AUDREY <br />Billing Addresa: 14905 W LK GOODWIN RD <br />City, State, 2ip: STANWOOD WA 98292 <br />Phone: XX <br />Legal Description: Lot 0 Blk 0 Addn: <br />Frontage: No. of Unite: <br />?� ��JSTING �UN 1 5 1998 <br />_Change Request <br />WATER SERVICE <br />S.O. No. 0 Application No. <br />Fixed: Depoeit: <br />Svc. Size: Svc. Type: <br />Setter Installation Date ey <br />Meter No. Size Brand <br />Meter Inatallation Date By <br />Water On Off Locked Out By_ <br />Remarks:— — — <br />TSG <br />SEWER SERVICE <br />ermi o.: <br />Fermit Type: ALTERATTON LID Pto.: <br />Syateme Development Feea: <br />Water <br />Sewer <br />Bond III Connectir�n Charqe: <br />Trunk <br />Lateral <br />Remarka: <br />CONTRACTOR: AMERICAN BACKHOE <br />Inspected by �� -� Date <br />�7 <br />Water permit Fee: <br />Sewez Permit Fee: <br />$0.00 <br />$0.00 <br />TOTAL: <br />50.00 <br />$0.00 <br />TOTAL: <br />/G-/y'6 � <br />a^ ^ � � � Grand Total: <br />l C L� <br />NJ NJ <br />nr,t ; � 1997 <br />50.00 <br />$30.00 <br />$0.00 <br />$0.00 <br />$30.Q0 <br />.................................. Public Wozke CoPY <br />C1TY OF EVER:TT <br />Buildin;; Dlvisio❑ <br />