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� <br /> 1 <br /> ��E� I'USTINC � -5- � <br /> CITY OF EVERETT <br /> UTILITIES <br /> PERMIT �q� � � <br />� -- I <br /> Date: 02/21/95 CMWO #: <br /> Change Reques� <br /> Service Address: 5801 12TH AVE W — <br /> Billing Name: SELECT HOMES I <br /> Billing Addtess: EVERETTTH AVE �+' WA 98204 II <br /> City, State, Zip: 513-9006 � <br /> Phone: <br /> Legal Description: Lot 65 Blk 0 Addn: MNoRiof UnE�s•GARDENS <br /> Frontage: <br /> WATGR SERVICE I <br /> S.O. No. 8343 Application No. 29e386 <br /> Fixed: Y Deposit: N Water Permit Fee: 5105.00 <br /> Svc. Size: 3/4 Svc. Type: SFR <br /> Setter Installation Date / $Y <br /> Meter No. 3�15� 0/5 size �� srand " �L+�� <br /> Meter Installation Date .3'j'I S BY C�\ i <br /> i <br /> Water On � �ff_ Locked Out_ BY <br /> Remarks:— <br /> TSG <br /> I <br /> SEWER SERVICE <br /> ermi o• � I <br /> Permit Type: NEW COtdNECTION LID No. : <br /> Sewer Permit Fee: $70.00 <br /> systems Development Fees: Water $482.00 <br /> Sewer $0.00 Sqg2,00 <br /> TOTAL: <br /> Bond III Connection ChargeTrunk $0.00 <br /> Lateral $0.00 TOTAL: $0.00 <br /> Remarks: <br /> Inspected by _ Date <br /> %� �' <br /> i� 1 Grand Total• $657.00 <br /> _ �������' <br /> �� C�� �, g5 <br /> \ �`' g � � 9 <br /> U F� ' ' . .. <br /> ; <br /> ,. �Y`�'��i��j' Utilities Svcs Copy <br /> `, rJF `d,s`� • <br /> ;;\` l, ,.i.c`�U <br />