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cirv ov Eveaerr . , y SEP 2 3 1897 <br /> � UTILITIES G �� �� nSTI�G s. <br /> PERMIT <br /> aate: oi/oa/9� cMwo #: � 6— — <br /> Service Addreess 4504 RIDGEMONT DR __Change Reque <br /> Billing Names BOLIt: CONSTRUCTION <br /> Billing Addreee: PO BOX 21 <br /> City, State� Zip: MUKILTEQ WA 98275 <br /> Phonc;: 353-�286 <br /> Lec�ai Deecription: Lot 11 H!.k 0 Addn: RIDGEMOND ADDN <br /> Frontage: No. of Unite: 1 <br /> WATER SERVICE <br /> S.O. No. 9226 Application No. 30769 <br /> Fixed: Y Depoeit: N <br /> Svc. Size: 3/4 Svc ^.'ype: SFR Water Permit Fee: S650.00 <br /> Setter Iristallation DG�ate �f-�> "�l7 BY /1 2� '}fQ <br /> Heter No. y � 9o85'r/ Sizr:�_ Brand <br /> Meter In�tall.stion Date �/,Lf-�l'� By �u/}�K D��XCqF _ <br /> Water On vrx--p�- Locked Out By <br /> Remail��: 3 -�-�4 Y K� lrC.�� <br /> C ` <br /> � ��� h J .J w <br /> TSG� ��/ � � � <br /> SEWER SERVICE <br /> P�mi�Ao.:3i1L7'T� <br /> Permit Types NEW CONNECTION LID No. : <br /> Sewer Permit Fee: $70.00 <br /> Syeteme DeveloFxnent Fees: <br /> Water S482.00 <br /> Sewer 5814.00 <br /> TOTAL: $1,296.00 <br /> Bond III Connection charge: <br /> Trunk $0.00 <br /> Lateral 50.00 <br /> TOTAL: $0.00 <br /> Remerke: <br /> Inspected by Date <br /> Grand Total: SZO16.00 ' <br /> n � � U ��� <br /> LJ � ,� �,l i997 . . <br /> ' r" Utilities Copy <br /> ................. .................. <br /> CI7Y UF EVERETT <br /> �iuildin� Division <br />