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CITYOFEVERETT r� �n�riN�; ��ZS �S <br /> UTILITIES � ----� <br /> PERMIT <br /> Date: 03/23/95 CMWO ,}: <br /> Service Addreee: 11312 3AD AVE SE _Change Requee <br /> Billing Name: LLOYD DALE/AZURE CONST <br /> Billing Addreee: 13208 136TH AVE NE <br /> City, State, 2ip: KIRKLAND WA 98034 <br /> Phone: 821-4756 <br /> Legal Description: Lot 1 Blk 0 Addn: SP 6-92 <br /> Frontage: No. of Unita: 1 <br /> WATER SERVICE <br /> S.O. No. 8428 Application No. 29971 <br /> Fixed: Y Deposit: N <br /> Svc. Size: 3/4 Svc. Type: SFR Water Permit Fee: $650.00 <br /> Setter Inetallation Date gy <br /> Meter No. Size Brand <br /> Meter Inetallation �ate gy <br /> Wc•�er On Off Locked Out gy <br /> Remarke:— — — <br /> TSG <br /> SEWER SERVICE <br /> erm o, : <br /> Permit Type: NEW CONNECTION LID No. : <br /> Syeteme Development Fees: Sewer Permit Fee: $70.00 <br /> Water $482.00 <br /> Sewer 5814.00 <br /> TOTAL: $1,296.00 <br /> Bond ZZI Connection Charge: <br /> Trunk $330.00 <br /> Lateral $0.00 <br /> � TOTAL: $330.00 <br /> Remarka: �0/jt{ZiC.QD r C��iyJ� N�C,kkueQ <br /> i <br /> Inepected f � a / , Date i/ % � <br /> ./ <br /> Grand Total: $2346.00 <br /> Public Works Copy <br />