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CITYOFEVEFETT .. :3QSTING I _Iv C7� <br /> ISTILITIES <br /> PEFiMIT �`/9 �s� <br /> Date: 03/15/95 CI•SWo #: _ _ <br /> Service Address: 5509 lOTH DR 4: _Change Requee <br /> Billinq Name: SELECT HOMES INC <br /> Billing Addreas: 12811 8TH AVE W #A201 <br /> City, State, Zip: EVER513=9006 WA 98204 <br /> Phone: <br /> Legal Deecr:ption: L�t 18 Bl:c 0 Addn: MERRILL CREEK GARDENS <br /> Fcontage: No. of Units: 1 <br /> WATER SER`JICi: __ - <br /> S.O. l�o. 8407 Application No. 2°960 <br /> Fixed: Y Deposit: 4ix�.ter Permit Fee: $130.00 <br /> Sac. Size: 1 Svc. Type: Rr'.S <br /> Setter Installation Date $Y _. , <br /> „ ' <br /> Meter No. 3 L`OJr Size�_ Brand YK. �, <br /> Meter Inatallation Date T�y/' S_ By v <br /> kater On V off_ Lccked out�_ By <br /> Remarks:— <br /> TSG — <br /> SEWER SERVICE <br /> ermi o. : <br /> Permit Type: NEW CONNECTION LID No. : 1 �I <br /> . Sewer Permit Fee: 570.00 <br /> Systems Development Fees: Water 5600.00 <br /> Sewer SO•00 <br /> TOTAL: $600.00 <br /> Bond III Connection ChargeTrunk $0.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarks: � <br /> inspected by Date <br /> F '��` .00 <br /> � �_ � �� r�l �otal• 5800 <br /> 1� <br /> 1� <br /> � AR 15 1995 <br /> M <br /> ..... ��:t1��ilities Svcs Copy <br /> GITY �F piv�sionl <br /> Esuild��P <br />! <br />