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ft4,K I q 14SS <br />OL cRYOFEVERETT TO POSTING <br />UTILITIES <br />PERMIT <br />Date: 01/26/98 CMWO #: <br />Service Address: 10721 7TH AVE SE _Change Request <br />Billing Name: MCCORMICK GARY <br />Billing Address: 15211 123RD AVE SE <br />City, State, Zip: SNOHOMISH WA 98290 <br />Phone: 360-568-3998 <br />Legal Description: Lot 3 B1k 0 Addn: SHORT PLAT 40-96 <br />Frontage: No. of Units: 1 <br />WATER SERVICE <br />S.O. No. 9631 Application No <br />Fixed: Y Deposit: <br />Svc. Size: 3/4 Svc. Type: SFR <br />Setter Installation Date_ By <br />Meter No. Size Brand <br />Meter Installation Date By <br />Water On Off Locked Out By <br />Remarka:— <br />TSG <br />31174 <br />Water Permit Fee: 1 $130.00 <br />SEWER SERVICE _ <br />ermi o.: <br />Permit Type: NEW CONNECTION LID No.: <br />Sewer Permit Fee: $70.00 <br />Systems Development Fees: <br />Water $482.00 <br />Sewer $814.00 <br />TOTAL: $1,296.00 <br />Bond III Connection Charge: <br />Trunk $330.00 <br />Lateral $0.00 <br />Remarks: <br />Inspected by Z./cP(/"`- ``T`�-- Dat <br />vq� l Gm) <br />�qN <br />2 8 i998 <br />�tTY' UC rvERETT <br />Permit Services <br />TOTAL: I.,-._$330.00 <br />em <br />Grand Total: 1 $1826.00 <br />Public Works Copy <br />