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T� P�$T�N�i Jl1L 3 g 1999 <br /> RECEIVED <br /> CITY OF EVERETT N�✓ 1 & 1996 <br /> UTILITIE� <br /> P�RMIT �T���jY SERVICES <br /> Date: 11/12/9G CMISO /: <br /> Service Addrese: 5715 12TH AVE W (AE) _Change Requee <br /> illinq Names METCO HOMES LLC <br /> Billin4 Addroees 18913 BOTHELL EVT HWY <br /> City, State, Zip: BOTHEYL WA 98012 <br /> Phone: 316-0261 <br /> I.eqal Ueecription: Lot 0 Blk 0 Addn: BLDG N I <br /> Frontage: No. of Unites 2 <br /> WATER SERVICE <br /> S.O. No. 9193 Application No. 30736 <br /> Fixed: Y Depoeit: N <br /> Svc. Size: 1" Svc. Type: DUP Water Pcrmit Fee: $130.00 <br /> Sstter Inetal:ation Date By <br /> Meter No. ZG/Z- Size�� Brand <br /> Meter Inetal].ation Date {� -'�y -�7 By <br /> Water On `/ Off Locked Out By <br /> Remarkr.:— — -- -- <br /> TSG <br /> SEWER SERVICE <br /> erm o. : <br /> Permit Ty�e: NEW CONHSCTZGN LID No. : <br /> Sewer Permit Fee• $70.00 <br /> Syeteme Developnent Feee: <br /> Water $�01.00 � <br /> Sewer $0.00 � <br /> TOTAL: � $701.00 <br /> Bond IZI Connection Charge: I <br /> Trunk $0.00 <br /> Lateral $0.00 <br /> TOTAL: ;0.00 <br /> Remarke: <br /> \ <br /> /��'� i <br /> Inepected by Date �� �/ <br /> �� <br /> ��-� '-' �.��q6 Grand Total: $901.00 <br /> \ , 1 .••' <br /> �- <br /> �� �o�Ps�n <br /> �''�J���`�� Utilitiee Svcs Copy <br />