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� <br />CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />Date: 08/09/96 CMWo ,#: �'� <br />Service Addreee: 5610 S 3AD AVE <br />Billing Name: FAIRMONT HOMES <br />Billin Addrees: 21902 38TH AVE W <br />City� �tate, 21p: SRIER WA 98036 <br />Phone: 356-2435 <br />Legal Deecription: Lot 0 Blk 0 Addn: <br />Frontage: <br />�� POSTlNG °E�� <br />_Change Request <br />No, of Unite: <br />WATER SERVICE <br />S.o. No. 9051 Application No. 30594 <br />Fixed:�Y Deposit: N <br />Svc. Size: 3/4 Svc. Type: SFR Water Permit Fee: <br />Setter Inetallation /Date -.�5� Hy_ /�9�k�C ���'t`f (' <br />Meter No. `f��(O��i-'�C> Size `�/�/.�( Brand��o{��tJP <br />-r--•- <br />Meter Inetallation Date `� �.��1 �!' By /+i/9��� �✓�("�'(-/' <br />Water On Off Locked Out ✓ ey /�IA�'�' �A��-�(C'y'f'F <br />Remarke:— — — <br />ar � �/�wCn'3�� <br />TSG 8I 6 <br />SEWER SERVICE <br />ermi o.: <br />Permit Type: NEW CONNECTION LID No.: <br />Syetems Development Feee: <br />Water <br />Sewer <br />Bond III Connection Char3e: <br />Trunk <br />Lateral <br />Remarks: <br />Inepected by <br />l <br />/L/� i- /'� / <br />Sewer Permit Fee: <br />5482.00 <br />5814.00 <br />TOTAL: <br />$0.00 <br />$0.00 <br />TOTAL: <br />Date <br />� � ^ n n � �reqd Total: <br />V U <br />nu� i s �s9s <br />5650.00 <br />$70.00 <br />$1,296.00 <br />$2016.00 <br />.................................... Utilitiee CoPY <br />CITY OF EVERETT <br />8uflding Division <br />