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� <br /> CITY OF CVERETT <br /> UTi�ITIES `"` �OSTING __� -.z� - 9s <br /> PERMIT <br /> llate: 08/19/94 CMWo ,#: <br /> Service Addrese: 5520 25TH AVE W <br /> Billinq Name: COUNTRYWOOD HOMES <br /> Billinq Addreee: 14410 HEL RED RD <br /> City, State, Zip: BELLEWE WA 98007 <br /> Phone: 644-2323 <br /> Legal Deecription: Lot 53 Blk 0 Addn: POWDER MILL HIGHLANDS 2 <br /> Frontage: No. of Unite: 1 <br /> WATER SERVICE <br /> S.O. No. 8171 Application No. 29714 <br /> Fixed: Y Deposit: <br /> Svc. Size: 3/4 Svc. Type: sFR Water Permit Fee: $105.00 <br /> Setter Inetal:ation Date By <br /> Meter No. Size Brand <br /> Meter Inatallation Dute By <br /> RemarkE: <br /> NEW HOUSE <br /> Backflow prevention May Be Required <br /> SEWER SERVICE <br /> Permit No. : 29826 <br /> Permit Type: NEW COCINEC'PION LID No. : 707 <br /> Sewer Permit Fee: $70.00 <br /> Syetems Development Feee: <br /> Water $452.00 <br /> Sewer $0.00 <br /> TOTAL: $452.00 <br /> Bond III Connection Charge: <br /> Trunk $0.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarke: <br /> i� <br /> inepected by � , ;, ir �//�g�i Date %N'- 5"-- `�'� <br /> Grand Total $627.00 <br /> Permite expire if work is not commenced within 180 daye or <br /> ceaees for more than 180 daye. <br /> Public Worke Copy <br />