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arvoFevEattt "05TING � � � � <br /> UTILITIES <br /> PERMIT �� <br /> Date: O1/20/95 crwo s: ��-1G - l/ 9-(�US�- �a�5 <br /> Service Addresa: 7421 JU[JZPER DR _Change Request <br /> 3illi[Ig I73m0: FlARTIN JOH17 C <br /> Billing Address: 14128 57TH AVE NE ', <br /> •:ity, State, Zip: MARYSVILLE WA 98271 , <br /> ?honc:: 659-6570 <br /> Lega:� Description: Lot 2 B1k 0 hddn: SP 1202 15-79 <br /> Frontage: t7o. of Units: 1 <br /> WATER SERVZCE <br /> S.O. No. 8295 finplication tto. 2'J838 <br /> Fixe9: Y Depr�3it: 17 <br /> Svc. Size: 3/4 Svc. Type: SFR r Water Petmit Fee: 5650.00 <br /> setter znstal�ation oate 2'�. � � ��Y � 9 � <br /> ,- �. <br /> Meter tio. .J ����Size �l•'� 8rand J '�(� <br /> N.eter Installation Date �.'28 '9� By ���� p / <br /> Water On_x Off_ Locked Out_ By / 'b <br /> Remarks: <br /> YSG� — <br /> SEWER SERVICE <br /> .ermi . o. : t <br /> PeYmit TyF�e: tlEW CO�'NE:iI�H Li0 t7o. : <br /> Se:ree• Permit Fee: 570.00 <br /> SyaLem-� Development Fees: <br /> 47ater 5452 .00 <br /> Sewer 5761.Q0 I <br /> TOTAL: $1,213.OU <br /> 2ond III Connection Charge:runY. 50.00 '�. <br /> Lateral 50.00 <br /> TOTnL: �, 50.00 <br /> i <br /> P.emarl:s. � <br /> Inspected by Date � <br /> � i— <br /> �, � C� � �j�C `� �Grand Total: 51933.G0 <br /> , 1 u �= <br /> � ,IAN 2 0 �°�5 <br /> � .; � ���Ty pp �VEF'� • ' Utilitien Copy <br /> 6� ri � <br /> ! GiV•.S.G: <br /> ��. � r . ,� i'„�j�dlnq <br /> = !� i, �' e <br /> � �.� , t. <br /> , `J.^` 3��1 <br />