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� CIN OF EVEflETT <br /> UTILITIES <br /> PERMIT <br /> Date: 03/23/95 CMWO �: 74D-II R-( In � -�'Uo�� <br /> Change ftequeet <br /> Service Addreeu:•r�1;13D8?'3RD"AVE'�S� — <br /> o��=_a;�� �.�.... <br /> � Billing Name: L��OYD DALE/AZURE CONST <br /> � Billing Addreai3: 13208 136TH NE WA 98034 <br /> . ' City, Stdte, Zzp: KIFK821D4756 <br /> Phone: <br /> _� . . Le�al Deacription: Front�;Blk 0 Addn� 6No? of Unite: 1 <br /> � � WATER SERVICE <br /> � � �§.O. No. 8427 � Application No. 29970 <br /> � Fixed: Y �� NDepoeit: N Water Permit Fee: '--$�T�'— <br /> Sdc�SZie3"'3%4, �$vc. Type: SFR <br /> �i._.t .�:. . �O.J.O� <br /> Setter Znatallation Date BY <br /> Meter No. Size Brand <br /> Meter Installation Date BY <br /> Water On Off_ Locked Out_ BY <br /> Remarks:— <br /> TSG� <br /> SEWER SERVICE <br /> ermi o. : <br /> Permit Type: NEW CONNECTION LID No. : <br /> Sewer Permit Fee: 570.00 <br /> Syeteme Development Fees: Water 5482•00 <br /> Sewer $814.00 TOTAL: 51,296.00� <br /> Bond III Connection ChargeTrunk S330.00 <br /> Later:l 50.00 TOTAL: $330.00 <br /> Remarke: <br /> Inapected by _ Date <br /> Grand Total: -S��p '— <br /> �0 Q�� <br /> Sv✓ - Utilities ropy <br /> � � <br /> A�v <br /> �� <br /> \ <br />