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GTY OP EVERETT @ E� �'OSTI N G l-z�" <br /> UTIL�TIES <br /> PFRMIT ����� <br /> Date: 02/07/95 CMWO #: <br /> Service Addrese: 5828 11TH AVE W _Change Requee <br /> Silling Name: STEVEN BARTLOW �ONST � <br /> Billing Addrees: 3711 122ND PL SE <br /> City, State, Zip: EVERETT WA 98208 <br /> Phone: 337-9079 <br /> Legal Deacription: Lot 70 Blk 0 Addn: MERRILL CREEK GARDENS <br /> Frontage: No. of Units: 1 <br /> WATER SERVICE <br /> 5.0. No. 8329 Application No. 29872 <br /> Fixed: Y Deposit: N <br /> Svc. Size: 3/4 Svc. Type: SFR Wacer Permit Fee: $105.00 <br /> Setter Inetallation Date gy <br /> � Meter No. �j 3 / Size �J � Brand � <br /> � Meter Inetallation Date �/l-J- ys By �(ti�J <br /> 'r]ater Un ✓ Off Locked out By <br /> kt�arka:— — — <br /> TSG <br /> SEWER SERVICE I <br /> ermL o. : <br /> Permit Type: NEW CONNECTZON LID No. : <br /> Sewer Permit Fee: $70.00 <br /> Syeteme Development Feee: <br /> Water $362.00 <br /> - Sewer ;0.00 <br /> TOTAL: $362.00 <br /> Bond ZiI Connection Charge: II <br /> Trunk $0.00 <br /> Latera� $0.00 <br /> TOTAL: $0.00 <br /> Remarke: <br /> Inepected by Date <br /> Grand Total: $537.00 <br /> Utilitiee Svca copy <br />