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� <br />� <br />CITY OF EVEflETT <br />llTILITIES <br />P�RMIT <br />Date: 10/25/94 CMFO /: _ <br />Service Addresa: S11B S 2ND A`/E _Change <br />Billinq Name: FAIRMONT HOME3 <br />Billing Addrese: 21902 38TH AVE W <br />City, State, Zip: BRIER WII 98036 <br />Phone: 356-2435 <br />Le�al Deecription: Lot 3 Blk 15 Ad�in: TOWN OF LOWELL <br />Frontage: No. of Unita: 1 <br />WATER SERVICE <br />S.O. No. 8248 Application No. 29791 <br />Fixed: Y Aepoeit: N Water Permit Fee: <br />Svc. Size: 1 Svc. Type: CGMM <br />Sette� Installation Date By <br />Meter No. Size Brand <br />Meter Inetallation Date HY <br />Water On OFf Locked Out_ By <br />Remarks:— — <br />ADULT GROUP HOME (LOT C) <br />TSG <br />SEWER SERVICE <br />erm o.: <br />Permit Typc: NEW CONNECTION LID No.: <br />Syateme Development Fees: <br />Water S",230.58 <br />Sewer SZ,077.42 <br />Bond III Connection Charge: <br />Yrunk <br />Lateral <br />Remarks: <br />Inspected by <br />50.00 <br />Sewer Permit Fee: <br />TOTAL: <br />TOTAL: <br />$750.00 <br />$70.00 <br />$3,308.00 <br />$0.00 <br />Grand Total:� $4128.00 <br />Public Works Copy <br />