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CffYOFEVERETT �O n""TING ���� �� <br /> -T UTILITlES <br /> PERMiT ��,� <br /> Date: 03/06/95 CMWO �: <br /> Service Addrese: 5702 lOTH DR W _Change Requeet <br /> Billing Name: SELECT HOMES INC <br /> B_iling Address: 12811 8TN AVE W A-201 <br /> City, State, Zip: EVERETT WA 98204 <br /> Phone: 513-9006 <br /> Legal Description: Lot 15 Blk 0 Addn: MERRILL CRK GARDENS � <br /> Frontage: No. of Unita: 1 <br /> I <br /> WATER SERVICE <br /> S.O. No. 8399 Application No. 29942 <br /> Fixed: Y Deposit: <br /> Svc. Size: 1 �vc. Type: RES water Permit Fee: $130.00 <br /> Setter Inatallation Date By <br /> — �, <br /> Meter No. 00 Size � V _ Brand �a�e���GV12Q. <br /> Meter Installation Date ���!- `i By ( ����� ___ <br /> Water On � Off Locked Out_ By _ <br /> Remarks:— — <br /> 1" WATER SERVICE FOR SPRINKLER - PLAT REQUIREMENT <br /> TSG I— <br /> SEWER SERVICE <br /> Fecmi o. : <br /> Permit Tyge: NEW COC]NECTION LID No. : 1 <br /> Sewer Permit Fee: $70•UO <br /> Systems Development Fees: <br /> Water $482.00 <br /> Sewer $0.00 <br /> TOTAL: $482.00 <br /> Bond III Connection ChargeTrunk 0.00 <br /> S <br /> Lateral $0.00 <br /> TOTAL: SQ•0�'1 <br /> Remarks: <br /> Znspected by _ Date__ <br /> Grand Total: $682.00 <br /> II �) �LJ � � rj-� �, <br /> ._I �� % � <br /> 69/�,R 0 C 1°9:� �-� <br /> Utilities Svca Copy <br /> C:l Y �F L VE!?E i i _ <br /> �'llilriirlf': �1�4151^': <br />