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�� <br />� <br />TO P05T!NG ^P== <br />CITY OF EVERETT <br />i;TILITIES <br />PERir91T <br />Date: 02/10/97 CMWO �: <br />Service Addreea: 10421 ATN nR sE <br />Billing Name: MATTESON ICAY <br />gilling Addreee: 15418 29TH AVE S;: <br />City, Stato, Zip: MILL316�361 WA 98012 <br />Phone: <br />change <br />Legal Deecripticn: Frontage:elk 0 Addn: �N`�18f9Unite: 1 <br />WATER SERVICE <br />S.O. No. 9275 Application I.o <br />Fixed: Y Deposit: N <br />Svc. Si.ze: 3/4 5vc. Type: SFR <br />Setter Inetallation Date nY � <br />Meter No. ��Q��c� Size� Brand <br />Meter Inetall�ation Date �7'�-i % BY� <br />Water On V Off_ Locked Out_ BY <br />Remarke:— <br />TSG <br />SEWER SERVICE _ _ <br />ermi o.: �� <br />Permit Type: D7EW CONNECTION LID No.: <br />Syetema Development FeEo: Water <br />Sewer <br />Bond III Connecti.on ChargeTrunk <br />Latecal <br />Remarka: <br />Inepected <br />30818 <br />REGEIVED <br />FEB 1 3 1997 <br />Water Permit Fec:� S105.00 <br />Sewer Permit Fee: <br />$482.00 <br />$814.00 TOTAL: <br />5330.00 <br />$0.00 <br />TOTAL: <br />$70.00 <br />$1,296.00 <br />533G.00 <br />Gzand Total: $1801.00 <br />������ <br />F f�'� 1 01997 <br />................. ................. <br />CITY OF EVERETT <br />�3uild�n� Divis�or. <br />Utilitiea Svcs Copy <br />