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CITY OF EVERETT <br /> UTILITIES T� POSTINC S ��- 9�. <br /> PERMIT <br /> I Date: 05/25/95 CMWO #: <br />� Service Addreas: 5814 12TH AVE W _Change Request <br />� Billing Name: WELCH NESLEN <br /> Billing Addrese: 6322 76TH DR SE <br /> City, State, Zip: SNOHOMISH WA 98290 <br />� Phone: 337-3528 <br />� Legal Description: Lot 57 Blk 0 Addn: MERRILL CP.EEK GARDENS <br /> Frontage: Nc+. of Unita: 1 <br /> WATER SERVICE <br /> S.O. No. 8516 Application No. 30059 <br /> . Fixed: Y Depoeit: <br /> Svc. Size: 3/4 Svc. Type: RES Water Permit Fee: $105.00 <br /> Setter Installation Date By <br /> Meter No. Size Hrand <br /> Meter Installation Date By <br /> Water on Off Locked Out By_ <br /> Remarks:-- — — <br /> TSG <br /> SEWER SERVICE <br /> F?rmi o. : <br /> Permit Type: NEW CONNECTION LID No. : <br /> Sewer Permit Fee: $70.00 <br /> Systems Developm�.nt Fees: <br /> Water $482.00 <br /> Sewer $0.00 <br /> TOTAL: $482.00 <br /> Bond III Connection Charge: <br /> Trunk 50.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarka: <br /> Inspected by C�/`�(�/itaq.� Date �'�y' %% <br /> Grand Total: $657.00 <br /> Public Works ropy <br />