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CITY OF EVERETT <br />UTILITIES �0 PUSTINV � o- 3 -Y� <br />PERMIT <br />Date: 06/29/95 CMWO ,i: <br />Service hddrees: 1814 LELAND DR <br />Billing Name: GAENZ DORLIN <br />Billin Addreas• 9004 4TH AVE W <br />2 _Change <br />City, State, ZiF: MOKILTEO WA 98375 <br />Phone: 347-6484 <br />Legal Description: Lot 2 Blk 0 Addn: SHORT PLAT 1202-31-94 <br />Frontage: No. of Unite: 1 <br />WATER SERVICE <br />5.0. No. 0 hppiication No <br />Fixed: Depoait: <br />Svc. Size: Svc. 'Iype: <br />Setter Inetallation Date By_ <br />Meter No. Size Bra�, <br />Meter Inetallation Date BY, <br />Water On Off Locked Out_ <br />Remarke:— <br />3/4" WATER SOLD 6/19/95 ON S.O. 8544 <br />TSG <br />BY. <br />SEWER SERVICE <br />ermi o�— <br />Permit 1'ype: NEW CONNSCTION LID No.: <br />Systeme Development Fees: <br />Water <br />Sewer <br />Bond III Connection ChargeTrunk <br />Lateral <br />Remarke: <br />Water Permit Fee: � $0.00 <br />Sewer Permit Fee: <br />$482.00 <br />$81�.00 TOTAL: <br />$0.00 <br />$0.00 <br />TOTAL: <br />$70.00 <br />S1,296.00 <br />50.00 <br />� � . <br />� j <br />Inepected Date �� S <br />� � �� � � �rand Total: $1366.00 <br />JUL 051995 <br />................... ............... Public Works CoPY <br />CITY OF EVERETI <br />Eluildinp �ivision <br />