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CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />Dates 03/22/99 CMWO 0: <br />Service Addresses 4639 SEAHURS: AVE <br />Billing Names GRAY JEFF <br />Billing Addresses PO BOX 716 <br />TO POSTING Nor : ° Ti <br />1 _Change Request <br />City, State, Zip: EVERETT WA 98206 <br />Phone: 425-252-3699 <br />Legal Description: Lot 3 Elk 0 Addns SHORT PLAT 1-98 <br />Frontage: No. of Unitas 1 <br />WATER SERVICE <br />S.O. No. 0 Application No. 0 <br />Fixed: Deposit - <br />Svc . Size: Svc. Type: Water Permit Fees <br />Setter Installation Date By <br />Meter No. Size Brand <br />Meter Installation Date By <br />Water On Off Locked Out By <br />Remarks:- — <br />S.O. 9935, 3/4" SERVICE, 10/16/99 <br />TSG <br />_ SEWER SERVICE <br />Permit No.: J1010 <br />Permit Type: NEW CONNECTION LID No.: <br />Sewer Permit Fee: <br />Systems Development Fees: <br />Water $482.00 <br />Sewer 814.00 <br />TOTALS <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Remarks: <br />Inspected by <br />0.00 <br />0.00 <br />TOTAL: <br />SGLLd'�c <br />Date G — / 3 —C <br />$0.00 <br />$70.00 <br />$1,296.00 <br />$0.00 <br />Grand Totals $1366.00 <br />MAR 24 IM Public Works Copy <br />CITY OF EVERETT <br />Permit Scrvices <br />