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JAN 2 9 1998 <br />CITY OF MAETT <br />UTILITIES <br />PERMIT <br />_ OSTING <br />UTILITY SERVICES <br />r6NW 4 211A <br />Date: 12/10/97 CMWO I: <br />SErvice Address: 10717 7TH AVE SE _Change Request <br />Billing Name: MCCORMICK GARY <br />Billing Address: 15211 123RD AVE SE <br />City, State, Zip: SNOH MIS3998 WA 98290 <br />Phone: <br />Legal Description; Lot Frontal Blk 0 Addn: SHORT <br />ofPLAT <br />40-96 Units1 <br />WATER SERVICE <br />S.O. No. 9606 Application No. 31149 <br />Fixed: Y Deposit: Water Permit eee: <br />Svc. Size: 3/4 Svc. Type: SFR <br />Setter Ins/tallation Date By <br />Meter No. T/� 0� 8ize�S_& / brand <br />Meter Installation Date�7��� —�1 By <br />Water On Off_ Locked Out_ By <br />Remarks:-- <br />TSG <br />SEWER SERVICE <br />ermi o.: !) <br />Permit Type: NEW CONNECTION LID No.: <br />Systems Development Fees: Water <br />Sewer <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Remarks: <br />Inspected by <br />Sewer Permit Fee: <br />$130.00 <br />$70.00 <br />$482.00 <br />$814.00 TOTAL: $1,296.00 <br />$330.00 <br />$0.00 <br />TOTAL: $330.00 <br />�g� Q�U11C) <br />JAN 2 8 1998 <br />CITY OF EVERE"IT <br />Pormit Services <br />Grand Total: 1 $1826.00 <br />Utilities Svcs Copy <br />