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CITY OF EVERETT <br /> UTILITIES :�� k�dSTiNG �'Zr '9S <br /> PERMIT -�' /�� ��- <br /> �� <br /> Date: 02/07/95 CMWO #: I <br /> Servi.ce Addresa: 5825 12TH AVE W _Change Requeei <br /> Bil.ling Name: STEV>N BARTLOW CONST <br /> Billing Address: 371'. 122NG PL SE <br /> City, State, Zip: T•'VEFETT WA y87�8 <br /> Phone: �3?-9079 <br /> Leyal Deecription: Lot 61 dlk 0 Add�:: MNORiof Units:GARDENS <br /> Frontage: <br /> WATER SEF'✓ICE <br /> S.O. No. 8330 Application No. 29873 <br /> Fixed: Y Depoeit: N Water Permit Fee: ll $105.00 <br /> Svc. Size: 3/4 Svc. Type: SFR I <br /> Setter Installation Date BY_ <br /> xeter No. 03 � 337 size 5,(' srand_���z1���� <br /> '/ a �° � <br /> Meter Installation Date ry-JS' `-j S BY�-�- �� I <br /> Water On ��� Off_ Locked Out_ BY <br /> Remarke:— <br /> TSG <br /> SEWER SERVICE <br /> ermi o. :—Z955T— <br /> Permit Type: NEW CONNECTION LID No. : <br /> Sewer Permit Fee: $70.00 <br /> Syetems De��ralopment Feea� Water S362.00 <br /> Sewer $0.00 362.00 <br /> TOTAL: S <br /> Hond III Connection ChargeTrunk 50.00 <br /> Lateral $0.00 TOTAL: S0.00 <br /> Remarks: <br /> Inapected by Date <br /> Grand Total: $537.00 <br /> H�7�,- V UtiliT.ies Svice Copy <br /> V <br /> �� <br /> _- - . ____,_ �— -- --- - � <br />