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CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />Date: 10/25/94 CMWO f: <br />Service Addresa: 5112 S 2ND AVE <br />8illinq Name: FAIAMONT HOMES <br />Billing Addrese: BRIER 38TH AVE WWA 98036 <br />City, State, Zip: 3,�6._Zq35 <br />F'hcne: <br />'''_`STIM� 1_�L,-v� <br />Change <br />Legal Oeacription: Frontaga;Blk 15 Addn: TNoN of UnWtoL 1 <br />WATER SERVICE <br />ppplication Ne <br />S.O. No. 8247 <br />Fixed: Y Uepoait: N e: COMM <br />Svc. Size: 1 Svc. Typ <br />Setter Installation DaCe gY <br />Size Brand <br />Meter No. — -- <br />Meter Inetallation Date_�,_ HY <br />Water On Off_ Locked Out_ B1 <br />Remarks:— <br />ADULT GROUP HOME (LOT B) <br />TSG <br />SEWER SERVICE <br />erm o•� <br />Permit Type: NEW CONNECTION <br />LID No.: <br />Syeteme Development Fees: Water <br />Sewer <br />Bond III Connection ChargeTrunk <br />Lateral <br />Remarks: <br />29790 <br />Water Permit Fee:l $750.00 <br />Sewer Permit Fee:' <br />$2r07�7.42 <br />TOTAL: <br />$0.00 <br />$0.00 TOTAL: <br />Inspected by�I� P�GL4l� Date <br />i-.�c- y,� <br />$70.00 <br />53,308.00 <br />$0.00 <br />Grand Total:l $41Z8•0� <br />Fublic Worke Copy <br />