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M3 <br />CITY OF EVEFIE17 <br />UTILITIES <br />PERMIT <br />art o 7 9W <br />TO POSTING ----- <br />Date: 09/09/96 CMWO 1: <br />Change Request <br />Sex -vice Address: 1317 56TH ST SW <br />_ <br />Billing Name: METCO HOMES LLC <br />Billing Address: 18913 BOTHELL EVWAti 80?2 <br />City, State, Zip: BOTHELL <br />Phone: 481-0665 <br />Legal Description: LotFrontage:Blk 0 Addn: MNoo. of UniteCRK :! 4 <br />1 <br />WATER SERVICE <br />S.O. No. 9092 Application No. 30635 <br />Fixed: Y Deposit: N SFR <br />Svc. Size: 3/4 Svc. Type: <br />Setter Installation Date�By�— <br />Meter No. �_ <br />Size Brand�� <br />Meter Installation Date`_ <br />By <br />Water On_ Off_ Locked Out— By <br />Remarks: <br />TSG <br />SEWER SERVICE <br />rm o.: <br />Permit Type: NEW CONNECTION LID No.: <br />Systems Development Fees: Water <br />Sewer <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Remarks: <br />Inspected by <br />Water Permit Fee: I $105.00 <br />Sewer Permit Fee: <br />$4$2.00 <br />0.00 <br />TOTAL: <br />$0.00 <br />0.00 <br />TOTAL: <br />$70.00 <br />$0.00 <br />_ Date <br />Grand Total: r$657.00 <br />SFP 111996 <br />.......................... <br />"'CIT, EVERETT <br />Bu: � Vision <br />Public Works Copy <br />