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�IfYOFEVERETT 7'� ?+35TIN� I/I� -'C�� <br /> UYILITIES <br /> PERMIT ��9� G <br /> Date: 02/13/95 CMWO #: <br /> Service Addrese: 5822 11TH AVE W <br /> Change Requee <br /> Billing Name: REZNCKE PETER <br /> Billing Addresa: 12414 40TH AVE SE <br /> City, State, 2ip: EVERETT WA 98208 <br /> Phone: 742-1108 <br /> Legal Description: Lot 69 Blk 0 Addn: MERRILL CREEA GARDENS <br /> Frontage: No. of Units: 1 <br /> WATER SERVICE <br /> S.O. No. 8337 — <br /> 4pplication No. 29860 <br /> Fixed: Y Depoeit: <br /> Svc. Size: 3/4 Svc. Type: RES <br /> � Setter Inatallation Date Water Permit Fee: $105.00 <br /> By <br /> Meter No. 7a ,� Size J� � grand <br /> Meter inetallation Date .5- �-1-/�j g <br /> Y <br /> Water On � Locked Out <br /> Remarke:—' Off__ __ gY <br /> TSG <br /> ermi o. : SEWER ;ERVICE <br /> Permit Type: NEW CONNECTION , <br /> LID ho. : <br /> Systeme Development Feed: Sewer Permit Fee: $70.00 <br /> Water $482,00 <br /> Sewer $0.00 <br /> TOTAL: $482.00 <br /> Bord III Cannecti�n Charge: <br /> Trunk $0.00 <br /> Lateral $0.00 <br /> Remarke: TOTAL: $0.00 <br /> Inepected by <br /> Date <br /> crand Total: $657.00 � <br /> I <br /> Utilities Svca Copy <br />