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III <br />� <br /> CITYOFEVERETT ��rj ���TING q-u"qs- <br /> UTILITIES <br /> PERMIT � � � 6 � <br /> Date: 02/07/95 CMWO ,�: <br /> Service Addrese: 5809 11TH AVE W _Change Requee <br /> Billing Name: STEVEN HARTLOW CONST <br /> Billing Addrese: 3711 122ND PL SE <br /> City, State, Zip: EVERETT WA 98208 <br /> Phone: 337-9079 <br /> Legal Deecription: Lot 74 Blk 0 Addn: MERRILL CREEK GARDENS <br /> Frontage: No. of Unite: 1 <br /> WATER SERVICE <br /> S.O. No. 8328 Application No. 29871 <br /> Fixed: Y Deposit: N <br /> Svc. Size: 3/4 Svc. Type: SFR Water Permit Fee: $105.00 <br /> Setter Inatallation Date By <br /> Meter No.��[� Size��Y Brattd � I� <br /> Meter Installatiun Date �/C/—�� Sy li <br /> Water On 1i/ off Lor.ked 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 /> Syeteme Development Fees: <br /> Water $362.00 <br /> Sewer Y0.00 <br /> TOTAL: $362.00 <br /> Bond III Connection Charge: <br /> Trunk $0.00 <br /> Latexal $0.00 <br /> TOTAL: $0.00 <br /> Remarks: I <br /> inspected by Date � <br /> Grand Total• $537.00 <br /> Otilities Svcs Copy <br />