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CITY OF EVERM <br />UTILITIES <br />PERMIT <br />Date: 07/30/98 CMWO #: _ <br />Service Address: 1318 37TH ST <br />Billing Nam3: OUR LAND INC <br />Billing Address: 620 SE EVERETT MALL98208 <br />WAY <br />City, State, Zip: EVERETT <br />Phone. 425-347-5013 <br />Legal Description: FLot 0 rontage;Blk 0 Addn: <br />Change Request <br />No. of Units: <br />WATER SERVICE <br />S.O. No. 9823 Application No <br />Fixed: N Deposit: Y <br />Svc. Size: 6" Svc. Type: DCDA <br />Setter Installation Date By <br />Meter No. Size Brand_ <br />Meter Installation Date BY <br />Water On Off__ Locked Out <br />Remarks: <br />DCDA INSTALLATION <br />TSG <br />By <br />SEWER SERVICE <br />ermi� o.: <br />Permit Type: LID No.: <br />Systems Development Fees: Water <br />Sewer <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Remarks: <br />Inspected by <br />0 <br />3 <br />W <br />31366 <br />Water Permit Fee: I $8,669.00 <br />Sewer Permit Fee: <br />$00 .0 <br />TOTAL: <br />$0.00 <br />0.00 <br />TOTAL: <br />$0.00 <br />$0.00 <br />$0.00 <br />0 <br />_ -H —91 —D1 -ij r' W Date `4 <br />r- <br />-r, Co O. 1— N f J —3 <br />cc -; r,: o n� m F` �' � �"' r'� Grand Total: $8669.00 <br />W r•J Ln NO 10 C- 0•WN W <br />�0 HST UI rJ to 0�0 -10� CO0.O•��160 Ln O r�.]O F•O -F` — <br />GO Frn Gr100.O W O^700n3; <br />gD U ilities Copy <br />rn <br />JUL 3 0 <br />01998a <br />a10 <br />CITY OF E VERETT <br />