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CITY OF EVERtTT � <br /> l��'!LlTIES <br /> ��P3nlIIT <br /> :F I �� <br /> �/D-��� `�� . <br /> �' •� <br /> ` ' . Date: Ol/12/99 ��� #: i�4� � 3�-��- <br /> = Servic�t Addreees 2202 3STH ST . � � _change Requeet . <br /> ���''`Y� ' Hilling Name: TIZDEL �REG � � � - <br /> �^ � Billinq Addre�es 2118 38TH ST . <br /> . � City, State, Zip: EVERETT WA 98201 � <br /> . . Phone: 425-258-2331 <br /> � Legal Deecription: Lot 0 Blk 0 Addn: <br /> � � Frontage: No. aY Unite: - <br /> �� �. � WATER SERVICE � � <br /> ;A;:;-�j,: S.O. No. 10009 Appl.ication tio. 31552 <br /> - Fixed: Y Depoait: N <br /> - . � Svc. Size: 1" Svc. Type: CA - Water Per;�it Fee: j750.00 <br /> Setter Inntallation Date9i��00 gy R'CE � <br /> .� � Meter. No��� %f`� Size_L � Brand � <br /> r Meter inst�a/llation Date �i' �Q�_ BY f1C'oJ <br /> �.,-,, Wcter On Y Off� Lockec . it_ By —k � <br /> �< Remarks:— <br /> � : � :' <br /> *�'� TSG�3�`SlQ ` . <br /> '- SEWER SERVZCE <br /> � .. ermi o. : <br /> �'� � Permit Type: NEW CONNECTION LID No. : . <br /> ��� - � Sewer Permit Fee: $70.00 <br /> � • Systeme Development Fees: <br /> Water S410.00 <br /> ,k Sewer 5691.00 TOTAL: 51,101.00 <br /> � Bond III Connection ChargeTrunk 50.00 <br /> - Lateral 50.00 <br /> TOTAL: 50.00 <br /> Remarke: <br /> i` <br /> Inepected by Date <br /> �i <br />� ��� - � � � M � I^D` Grand Tota1: S1921.00 <br /> >i � � 1 <br /> �, � <br /> �` MAR 12 1999 � <br /> C`ITY QI� �;�7E��..�. Utilitiea Copy <br /> Permit Services <br /> P-- <br />�- . � . -_--_- ___'_._ - <br />