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/� <br />�,�,, <br />, <br />CITY OF EVERETT <br />UTiLITIES <br />PERMlT <br />Date: 02/10/97 CMWO #: <br />Service Addrees: 10415 BTH DR SE <br />Billing Name: MATTESON KAY <br />Billing Addreee: 15418 29TH AVE SE <br />City, State, 2ip: MILL CREEK WA 98012 <br />Phone: 316-8361 <br />, '�p�T��� JUN 1 6 1997 <br />Change <br />Legal Description: Lot 5 Blk 0 Addn: SN �lof9Unita: 1 <br />Frontage: <br />WATER SERVICE _ <br />S.O. No. 9277 Application No <br />Fixed: Y Depoeit: N <br />Svc. Size: 3/4 Svc. Type: SFR <br />Retter Znstallation Date BY <br />Meter No. Size Brand_ <br />Meter Inetallation Date BY <br />Water On Off Locked out_ Ry <br />Remarke:— — <br />.SG <br />SEWER SERVICE <br />ermi o.: <br />Permit Type: NEW CONNECTION LID No.: <br />Syetems Development Fees� Water <br />Sewer <br />Bond III Connection ChargeTrunk <br />Lateral <br />Remarke: <br />30620 <br />Water Permit Fee:l S105.00 <br />Sewer Permit Fee: <br />$4J2.00 <br />$814.00 TOTAL: <br />$3$0.00 <br />TOT_AL: <br />, j <br />Inepected =,t5 �pn .�/r _-� Date� <br />C <br />�i ����U <br />'-' �;, 1997 <br />t- C. � 1 0 <br />Grand Total: <br />$70.00 <br />$1,296.00 <br />$330.00 <br />51801.00 <br />. .................. <br />,,,,,,. Public Wcrke Copy <br />C�TV OF EVGRETi <br />Buildim� Divisio❑ <br />