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/j/ GU �, ��'�S �l(3 -�7 <br /> . cm oF eveAEn• �^/�� ` ' '� <br /> �1TILITIES �� �O�TlNG DEC 0 9 1993 <br /> PERMIT <br /> unte: o5/2a/9� criwo �: �/o -//9_r�cn�/ �170�7 <br /> � Service Addreee: 2221 JACKSON AVE _Change Request <br /> Billing Name: PHINNEY CONSTRUCTTON <br /> Billing Addreee: PO BOR 976 <br /> City, State, 2ip: EVcRETT WA 96206 <br /> PhonE: 435-337-6832 <br /> Legal DQecription: Lot 0 Blk 0 Addn: <br /> Frontage: No. of Unite: 1 <br /> _ WATER SERVICE <br /> S.O. No. 9423 Application No. 30966 <br /> Fixed: Y Deponit: <br /> Svc. 31ze: 3/4 Svc. Type: SFR ��[iater Permit Fee: $650.00 <br /> ' _L �� <br /> -Setter Inetallation Da� Y � <br /> � <br /> Meter No. 1�"_�� ize l Brand <br /> Meter Inetallation Date �� � By <br /> Water On Off Locked Out� By <br /> Remarks:— — <br /> I 7 � 1. c�, r✓. �-- yo ' � c�7`_ <br /> TS� G��. � � ���g��Q�7 <br /> SEWER SERVICE <br /> erm o. : — <br /> Permit Type: NEW CONNECTION LID No. : <br /> Sewer Permit Fee: S70.00 <br /> Syetems Development Feee: <br /> Water 5482•00 <br /> Sewer S814.00 <br /> TOTAL: $1,296.00 <br /> Bond III Connection ChargeTrunk 50.00 <br /> Lateral 50.00 <br /> TOTAL: S0.00 <br /> Remarke: <br /> Ir.epected by Date _ <br /> Grand Total: 52016.00 <br /> � � � � � �� <br /> or,Y 17 �997 utilitiee Copy <br /> . . . ...................... <br /> CITV OF F.VERETT <br /> l3uildin� Dlvlsion <br />