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l <br /> i <br /> CI"fl'OFEVERETT yn ��STIN� ����I ~ <br />� u�ri�rnEs <br />� PERMIT � /9s33 <br /> i <br /> Date: O1/30/95 CMWO #: � <br /> Service Addresa: 5830 lOTH DR W _Change Requesl <br /> Billing Name: SELECT HOMES INC <br /> Billing Addrese: 12811 8TH AVr. W <br />� City, State, 2ip: EVERETT WA 98204 <br /> Phone: 513-9006 <br /> Legal Description: Lot 81 Blk 0 Addn: MERRILL CREEK GARDENS <br />� Frontage: No. of Unite: 1 <br /> I <br />� WATER SERVICE � <br /> S.O. No. 8309 Application No. 29852 <br /> Fixed: Y Deposit: <br /> Svc. Size: 3/4 Svc. Type: RES Water Permit Fee: $105.00 <br /> Setter Installation Date By <br /> Meter No. � / / Size 5/� Brand � <br /> �U , I <br /> Meter Inatallation Date��-�.$� By I <br /> :Sater On � Off Locked Out By � <br /> kemarks:— — — <br /> TSG <br /> SEWER SERVICE <br /> eP rmi�.�—�39T�— I <br /> Permit Type: NEW CONNECTION LID No. : <br /> Sewer Permit Fee: $70.00 <br /> systems Development Fees: <br /> Water $362.00 <br /> Seoier $0.00 I <br /> TOTAL: $362.00 � <br /> Hond III Connection Charge: . <br /> Trunk $0.00 � <br /> Lateral $0.00 � <br /> TOTAL: $0.00 '�. <br /> Remarka: <br /> Inspected by Date �I <br /> Grand Total: $537.00 <br /> Utilities svcs Copy <br /> ..--_.. _�- - --- � �. <br /> �,,.,�,...,�_...---`--" _ — <br />