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� <br />CITY OF EVERETT <br />UTILITIES <br />PEPMIT <br />���J POSTING �,�` '� s � � <br />Date: 1OJ12/95 CMWO #: <br />Service Address: 3829 HOYT AVE _Change Request <br />Billing Name: EVERETT CLINIC <br />Billing Addresa: 3901 HOYT AVE <br />City, State, Zip: EVERETT WA 98201 <br />Phone: 339-5460 <br />Legal Description: Lot 0 Blk 0 Addn: <br />Frontage: No. of Units: <br />WATER SERVICE <br />S.O. No. 0 Application No <br />Fixed: Deposit: <br />Svc. Size: Svc. Type: <br />Setter Inatallation Date By <br />Meter No. Size Brand <br />Meter Installation Date By <br />Water On Off Locked Out �y <br />Remarks:— — — � <br />TSG <br />SEWER SERVICE <br />ermi o.: <br />Permit Type: CAP OFF iID No.: <br />Syeteme Development Fees: <br />Water $0.00 <br />Sewer 50.OU <br />H�nd III Connection Charge: <br />Trunk <br />Lateral <br />Remarka: <br />Inspected by C J' �24,.- Date <br />50.00 <br />50.00 <br />Water Permit Fee: I $0.00 <br />Sewer Permit Fee: <br />TOTAL: <br />TOTAL: <br />/ c-/ <br />' 7 %.0 <br />Grand Total: <br />$10.00 <br />$0.00 <br />$O.OU <br />$10.00 <br />Public Worka Copy <br />