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C�TYOFEVERETf T� p05TING DE._ ��� <br /> UTILITIES <br /> RERMIT <br /> Date: 11/18/97 CMWO d�: �— <br /> Service Addrese: 2123 LAKE HEIGHTS DR — <br /> Cnange Request <br /> B:lling Name: BETHANY OF THE tiW <br /> Billing Addre[�B� EVERETT��DWAY Wt� 98z�1 <br /> City, State, Zip: 259-5506 <br /> Phone: <br /> Legal Deecription: FYontage:Blk � Addn: No. of Units: <br /> WATER SERVICE <br /> S.O. No. � <br /> Application No. � <br /> Fixed: Deposit: Water Permit Fee: $O.OU <br /> Svc. Size: Svc. Typa� <br /> Setter Installation Date gY <br /> N:eter No. <br /> Size Brand <br /> Meter Installation Date E�' <br /> Water On Off_ Locked Out_ aY__ <br /> Remarke:— <br /> TSG <br /> SEWEA SER'JICE �..�---- <br /> etmi o• � <br /> Permit Type: NEW CJNNECTION <br /> LID No- : <br /> Sewer Permit Fee: $70.00 <br /> Syeteme Development Yeee� Water 50.00 <br /> Sewer $814.00 TOTAL: 5814.00 <br /> eond III Connection ChargeTrunk 5330.00 <br /> Lateral SD•�� $330.00 <br /> TOTAL: <br /> Remarks: <br /> Inspected by <br /> ` Date �'2 �¢�/ 7 <br /> Grand Total: $1214.00 <br /> Public Works Copy <br /> --._. . _ .__. `� <br /> _ __ <br /> . __�_._ ,-. _ _. . ... � . <br /> . .._ � �_.�d...rr � <br /> Y!�l��IPw0�1.�� <br />