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• d�� �' �r �'i.u'xw;,!-�, lo—l 3 - Y`� <br /> CITY OF EVERETT <br /> UTILITIES <br /> PERMIT �q98 3'97 7 <br /> Date: 10/12/98 CMWO #: / /(/' �� I�lC�CP 1 - ! / �(/' <br /> Service Addrese: 3710 25TH ST _Change Requeet <br /> Billinq Name: BURKE SHAOIJ <br /> 8illing Addreee: 1726 VERNON RD <br /> City, State, Zip: LK STEVENS WA 98258 <br /> Phone: 425-335-3684 <br /> Legal Deecription: Lot 0 Blk 0 Addn: SP A3C-98 <br /> Frontage: No. .�f Unite: <br /> WATER SERVICE <br /> S.O. No. 9926 Application No. 31469 <br /> Fixed: Y Depoeit: N �� <br /> Svc. Size: 3/4 Svc. Type: SFR Water Permit Pee: 5650.00 ., <br /> Setter Inetallation Date _By �yt ' <br /> Meter No.HIQDG��? Size 5�� Brand���Q�iC _ <br /> cr�// 7 <br /> Meter Inetallation Date //— / -/� By Aa>-n <br /> Water On_ Off_ Locked Out� By�_r <br /> Remarke: e A ! f <br /> SHORT PLAT REQUIREMENT � � �V. ,r/ 'V- UJ �CyLRICi <br /> /Gj J <br /> TSG������� / 1 S <br /> L <br /> SEWER SERVICE <br /> ermi o. : <br /> Permit Type: LID No. : <br /> Sewer Permit Fee: $0.00 <br /> Syetems Development Fees: <br /> Water $0.00 <br /> 5ewer $0.00 <br /> TOTAL: $0.00 <br /> Bond III Connection Charge: <br /> Trunk 50.00 <br /> Lateral $0.00 <br /> TOTAI.: 50.00 <br /> Remarke: <br /> ; <br /> : <br /> Inepected by Date <br /> . "� Grand Total: S650.00 <br /> �, Utilitiea Copy <br /> �!7 <br />