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1 <br /> CITYOFEVERETT �� p�STING - 7 —Zo—�s <br /> UTl �LITIES <br /> P�RMIT <br /> Date: 02/07/95 CMWO #: _ <br /> Service Address: 5828 11TH AVE W _Change Reqves <br /> Billing Name: STEVEN BARTLOW CONST <br /> Billing Addrese: 3�11 122ND PL SE <br /> City, State, Zip: EV�R337-9079 WA 98208 <br /> Phone: <br /> Legal Description: Lot 70 01k 0 Addn: MERItILL CRRER GARDENS <br /> Frontage: No. of Unite: 1 <br /> WAT�R SE:iVICE <br /> . S.O. No. 6329 Ap�lication No. 29872 <br /> � Fixed: Y Depoeit: N Water Permit Fee: $105.00 <br /> Svc. Size: 3/4 Svc. Type: SFR <br /> Setter Inetallation Date BY <br /> Meter No. Size Brand <br /> Me�cer Installation Date BY <br /> Water On Off Locked Out_ By <br /> Remarke:-- <br /> TSG <br /> SEWER SERVICE <br /> ermi o. : <br /> Permit Type: NEW CONNF,CTION LID No. : <br /> Sewer Permit Fee: $70.00 <br /> Syeteme Development Fees: Water $362.00 <br /> Sewer 50.00 <br /> TOTAL: $362.00 <br /> Oond III Connection ChargeTr�nk $0.00 <br /> Lateral $0.00 TOTAL: $0.00 <br /> xemarks: L'O r1�Y, �, Q ,Jp/������ <br /> /: rq <br /> Inepected by �it Ct� �� Date 7 � �"-4' � <br /> Grand Total: $537.00 ` <br /> I <br /> i <br /> ! <br /> I <br /> Public Works Copy <br />