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CITY OF EVERETT • <br /> UT'ILiTIES �o '''`;' , �r:- r 3 �-��� , <br /> P�RMII' <br /> Date: 05/31/95 CMWo #: <br /> Service Addrese: 709 40TH PL _Change Reques <br /> Billing Nzme: DALLY HOMES INC <br /> Bill.ing Address: 3316 FUHRMAN AVE E <br /> City•, State, Zip: SEATTLE WA 98102 <br /> Phone: 328-3770 <br /> Legal Deecription: Lot 35 Blk 0 Addn: SILVERHAWiC <br /> Frontage: No, of Unite: 1 <br /> — WATER SERVICE <br /> 5.0. No. 8524 Application No. 30067 <br /> Fi.xed: Y Deposit: � <br /> Svc. Size: 3/4 Svc. Type: RES Water Permit Fee: $105.G0 <br /> Setter In:�tallatiun Date_ gy <br /> Meter No.__ Size Brand <br /> Metnr Installation Date By I <br /> Water On Uf.f Locked Out gy I <br /> Remarke:'— — — <br /> TSG <br /> � <br /> SEWER SERVICE I <br /> ermi o. : <br /> Permit Type: NEW CONNECTION LID No. : <br /> Syetema Development Feea: Sewer Permit Fee: $70.00 <br /> Water $4II2.00 <br /> Sewer $814.00 <br /> TOTAL: $1,296.00 <br /> Bond III Connection Charge: <br /> Trunk 50.00 <br /> Lateral S0.00 <br /> TOTAL: $0.00 <br /> Remarke: <br /> , <br /> Inspected by /� �.bj+�kQ� Date �"�(� -- 'f1� — <br /> Grand Total• $1471.00 <br /> Public Works Copy <br /> ._- --- -. ... .._. .. _ <br /> .. ... �., . _ . � <br /> _x _ - <br /> I�. , � . <br /> �i i <br /> I! <br /> � il' �i ..xa <br />