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i <br /> CITYOFEVERETT TV I�OST�fV83 IJ '(._� 1� <br /> UTILITIES <br /> PERMIT <br /> Date: 06/12�45 CMWO #: <br /> Service Addr=ss: 5629 lOT9 DR W _Change Requeat <br /> Billing Name: SELECT HOMES INC <br /> Billing Addresa: 12811 ETH AVE W #A-201 <br /> City, State, Zip: EVERETT WA 9gZp4 <br /> Phone: 513-9006 <br /> Legal llescription: Lot 37 Blk 0 Addn: N.ERRILL CRK GARDENS <br /> Frontage: No. of Units: 1 <br /> WP.TEP. SERVICE <br /> S.O. No. 8535 Application 170. 30078 <br /> Fixed: Y Depoait: <br /> Svc. Size: 3/4 Svc. Type: RES Water Permit Fee: $105.00 <br /> Setter inatallation Date_ gy <br /> Meter No. Size Brand <br /> Meter Inatallation Date By <br /> Water On off Locked out By <br /> Remarke:— — — <br /> TSG <br /> SEWER SERVICE <br /> ermi o. : <br /> Permit Type: NEW CONNECTION LID No. : <br /> . Sewer Permit Fee: $70.00 <br /> syatems Development Feea: <br /> Water $600.00 <br /> Sewer $0.00 <br /> TOTAL: 5500.00 <br /> Bond III Connection Ciiarge: <br /> Trunk $0.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarka: <br /> Inspected by Date C� � � 1 � <br /> Grand Total: $775.00 <br /> D � � � � o � <br /> .,� � < < C. <br /> n 1 � 1`��� Public Works Copy <br /> ..ciri�' ;��;..cveaeTr <br /> dtiildinn qivision <br />