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CITY OF EVERETT NAR J � �� <br /> UTILIT9ES ��� Q��TINf —� <br /> ��RMlT <br /> --�--------�— <br /> Date: 02/C6/97 CMh'O ,�: ���-��, — d <br /> Service Addrese: 2415 40TH ST Change Requee <br /> Billing Name: HENDERSON KIM <br /> Billing Addrese: 915 61ST AVE SE <br /> �ity, Stete, Zip: EVERETT WA 98205 <br /> Phone: 252-7226 <br /> Legal Description: Lot 0 Blk 0 Addn: <br /> Frontage: N��. of Units: 1 <br /> WATER SERVI�E <br /> S.O. No. 9272 Application No. 30815 <br /> Fixed: Y Deposit: <br /> Svc. Size: 3/4 Svc. Type: CA Water Permit Fee: $650.00 <br /> Setter Inetallation Dateia/�6 `�� Ry ,q E <br /> Meter No.�/�}�g��� � Size �� Brand <br /> Meter InatalLation Date�d-� f By ,ff C <br /> Water On � Off�_ Locked Out_ gy <br /> Remarke:— <br /> ADDITIONAL $545 COLLECTED 2/10/97 ON RECEIPT #1 32 <br /> TSG����—/ ��� <br /> SEWER SERVICE <br /> ermi o. : <br /> Permit Type: NEW CONNECTION LID No. : <br /> Syeteme Development Fees: Sewer Permit Fee: $70.00 <br /> Water S409.58 <br /> Sewer 5691.42 <br /> TOTAL: $1,101.00 <br /> Bond III Connection Charge: <br /> Ta•unk $0.00 <br /> Lateral $0.00 <br /> TOTAL: S0.00 <br /> Remarke: <br /> Inepected by Date <br /> Grand Total: l $1821.00 <br /> Utilitiea Copy <br />