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�a�� �iJSTING ��+Y ; . <br /> CITY OF EVERETT <br /> UTILITIES � <br /> PERIIAIT' <br /> Date: 12/28/95 CMWO #: �-Il - <br /> Service Addreee: 7121 JEFFERSON AVE _Change Requee <br /> Billing Name: � BLANK LYLE <br /> Billing )�ddrese: PO BOX 2266 <br /> City, State, Zip: EVERETT I4A 98203 <br /> Phone: 355-4725 <br /> Legal Deecription: Lot 1 Bl�c 0 Addn: SP ,{1202-29-95 <br /> Frontage: No. of Unite: 1 <br /> WATER SERVICE <br /> S.O. No. 8758 Application No. 30301 <br /> Fixed: Y Depoeit: N <br /> Svc. Size: 3/4 Svc. Type: SFR Water Permit Fee: $650.00 <br /> Setter Inetallation Da(te By <br /> Meter No. ��j �' �l lSize ��r��'Z Brand �� <br /> i_ <br /> Meter Installation Date � —`� ���v By 'ZU r � R <br /> Water Gn� Off ocke�0ut_ ,, By Z�J � <br /> Remarka: ��1w2�� ...�4y+ d✓� r'�� , �j� �l1nr'r dct�u��� ��tv�+4 <br /> Tso' �1_ �� '� �� S ?.�� ��!- �-�3 ���' <br /> SEWER SERVICE <br /> ermi o. : <br /> Permit Type: NEW CONNECTION LID No. : . <br /> Sewer Permit Fee: $70.00 <br /> Syetems Development Fees: Water 5482.00 <br /> Sewer $814.00 <br /> TOTAL: $1,296.00 <br /> Hond III Connection Charge: <br /> Trur.k $0.C:0 <br /> Lateral S0.00 <br /> TOTAL: $0.00 <br /> Remarke: <br /> Ynepected by Date <br /> � ("'� � �I , \ �\ Grand Total: $2016.00 � <br /> �S ; U � <br /> ,._- <br /> > > Df=C 2 � '995 <br /> /l,%�t� � g -,� �-�- <br /> eVEftE�� Utilitiee Copy <br /> _ � �TY �� pivision <br /> 5�iidin0 <br />