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CITY OF EVERETf ! O t O ST f N G � ����`_----J <br /> � UTILITIES <br /> PERMIT <br /> Dates OS/17/95 CHWO /: <br /> Service Addreee: 11221 SILVER LA RD _Change Requee <br /> Billing Name: CITY OF EVERETT/FIRE DEPT <br /> Billing Addraee: 3002 WETMORE <br /> City� State, 2ip: EVERETT WA 98201 <br /> Phonos 259-8721 <br /> Legal Daecription: Lot 0 Blk 0 Addn: <br /> Frontage: No. of Unite: 1 <br /> WATER SER�'ICE <br /> S.O. No. 8508 Application No. 30051 <br /> Fixed: Y Depoeitt <br /> Svc. Sisat 2 Svc. Type: DOM Water Permit Fee: 51,200.00 <br /> Setter Inetallrat3on Date By <br /> Meter No. Size Brand <br /> Meter Inctallation Date By <br /> Water on Off Locked Out_ Sy <br /> Remarke:— — <br /> TSG <br /> SEWER SERVICE <br /> erm o. : <br /> Permit Type: NEW CONNECTION LID No. : <br /> Sewer Permit Fee: $70.00 <br /> Syeteme Davelopnent Feees <br /> Water 5290.00 <br /> Sewer 5489.00 <br /> TOTAL: 5779•00 <br /> Bond III Connection charge: <br /> Trunk 50.00 <br /> Lateral $0.00 <br /> TOTAL: 50.00 <br /> Remarkes <br /> ., <br /> Inepected b�6 L � Date �� <br /> C � <br /> ���n(�`�j Grand Total: Sz049.00 <br /> `V 1 � <br /> � MAV �� 1gg5 <br /> � <br /> �_V�A��� Public Worke Copy <br /> _ G\�� C,oQ ��v\s�� <br /> ���dA <br />