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CITY OF EVERETT <br /> UTIUTIES �., ;"'r�,�� rdQv z s �sss <br /> PERMIT <br /> Date: OS/07/96 CMWO #: <br /> Service Addreae: 5410 25TH AVE W 1 Change Request <br /> Billing Name: COONTRYWC,OD HOMES <br /> Billing Addrees: 14410 BEL RED RD <br /> City, State, Zip: BELLEVUE WA 98007 <br /> Phone: 649-8159 <br /> Legal Deacription: Lot 59 Blk 0 Addn: POWDER MILL HIGHLAND II <br />� <br /> Frontage: No. of Unite: 1 <br /> WATER SERVZCE <br /> S.O. No. 8902 Application No. 30445 <br /> Fixed: � Y Deposit: N <br /> Svc. Size: 3/4 Svc. Type: SFR Water Permit Fee: <br /> $105.00 <br /> Setter Inetallation Date gy <br /> Meter No. � � (� Size ��,� Brand � <br /> _7`�_ l f� !i� , <br /> Meter Installation Date -a,3- gy ��� <br /> Water On !� off Locked Out gy <br /> Remarka:'—' — — <br /> TSC✓� <br /> SEWER SERVSCE <br /> ermi o. : <br /> Permit Type: NEW CONNECTION LID No. ; <br /> Systeme Development Fees: Sewer Permit Fee: $7p,00 <br /> Water $600.00 <br /> Sewer $0.00 <br /> TOTAL: $600.00 <br /> Bond III Connection Charge: <br /> Trunk $0.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remark.a: <br /> Inapected by Date <br /> � �`�- � n n � �� Grand Total: $775.00 <br /> e�� LJ <br /> IIl <br /> h1AY 0 91996 � � <br /> � � ���������������"""""' Utilities Copy <br /> CITY OF EVEflETT <br /> Buildi�� Division <br />