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r <br /> tJ PQSTIl�� __1'!c� —�r� <br /> CITY OF EV. ETT <br /> UTI�.ITIES <br /> PERN9IT ��/�,, �j � /g� <br /> Date: 06/12/95 CMWo #: <br /> Service Address: 5829 1QTH DR W _Change Requeet <br /> Bill.ing Name: SELECT HOMES INC <br /> Billi.tg Addreas: 12811 BTH AVE W #A-201 <br /> City, State, Zip: EVERETi WA 98204 <br /> Phone: 513-9006 <br /> Legal Description: Lot 37 Blk 0 Addn: MERRILL CRK GARUENS <br /> Frontage: No. of Unite: 1 <br /> WATER SERVICE <br /> S.U. No. 8535 Application No. 30078 <br /> Fixed: Y Depoeit: <br /> Svc. Size: 3/4 Svc. Type: RES Water Permit Fee: 5105.00 <br />�� Setter Installation Date By <br /> Meter No. � � � Size 5 Hr.and <br /> II � / <br /> Meter Installation Date� BY i <br /> Water Onl� Off Locked Out_ By <br /> Remarks:— — <br /> I TSG � <br /> SEWER SERVICE <br /> ermi o. : — <br /> Permit Type: NEW CONNECTION LID No. : <br /> , Sewer Permit Fee: $70.00 <br /> syateme Development Fees: <br /> water $600.00 <br /> sewer 50.00 <br /> TOTAL: $600.00 <br /> Bond III Connec:ion ChargeTrunk S0.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarks: <br /> Inapected by Date <br /> Grand Total: $775.00 <br /> � � aS �l � ` <br /> � � <br /> � �. <br /> JUN I � 1g95 _" <br /> Utilities Svcs Copy <br /> ........................ .......... <br /> C17Y OF EVEF�EIl <br /> [JUtldlq(� OjVIS10G1 <br />