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CITY Of EVERETT 1 �d PfJ,T f �N!7 � `/� 'C � <br /> 11TILITIES <br /> PERMIT -'� �� ' � <br /> Date: 03/15/95 CMWO #: _ <br /> Service Addrese: 5632 '.OTH AR W _Change Reques <br /> Billing Name: SELECT HOMES INC <br /> Ailling Address: 12811 8TH AVE W #A-201 <br /> Citf, State, Zip: EVERETT WA 98204 <br /> Yhone: 513-9006 <br /> Legal Description: Lut 16 Blk 0 Addn: DfERRILL CREEEK GARDENS <br /> Frontage: No. of Units: 1 <br /> WATER SERVICE <br /> S.O. Iio. 8405 Application No. 29948 <br /> � Fixed: Y Depoait: <br /> Svc. Size: 1 Svc. Type: RES Water Permit Fee: $130.00 <br /> Setter Installation Date By <br /> Meter No.-'��Q� Size� Brand <br /> '�G/, / <br /> Meter Ir.stallation Date 7--�(1• ��_ By . J�-�`� <br /> Water On � Off Locked Out By <br /> Remarks:— — <br /> TSG <br /> SEWER SERVICE <br /> �erm•_��—�IIII7�F— <br /> Permit Type: NEW CONNECTION LID No. : 1 <br /> Sewer Permit Fee: $70.00 <br /> Syeteme Development Fees: <br /> Water S600.00 <br /> Sewer $0.00 <br /> TOTAL: 5600.00 <br /> Hond III Cot�nection ChargeTrunk 50.00 <br /> Lateral $0.00 <br /> TOTAL: 50.00 <br /> Remarks: <br /> Inapecti�c? Ay Date I <br /> � � n n ��\ Grand Total: $800.00 <br /> a U iv � <br /> �1 <br /> MAR 15 �ga5 <br /> �h..£vEuG�� Utilities Svcs Copy <br /> CI��Y �vis��� <br /> �;ailtling � <br />