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---. <br /> CITYOFEVERETT 'I'�J �nSTING g� 2�- � <br /> UTILITIES <br /> PERMIT <br />� - � <br /> Date: 02/07/95 CMWO #: <br /> Service Addreeo: 5825 12TH AVE W _Change Reques <br /> Billing Name: STEVEN BARTLOW CONST <br /> Billing Addreee: 3711 122ND PL SE <br /> City, State, Zip: EVERETT WA 98208 <br /> Phone: 337-9079 <br /> Legal Deacription: Lot 61 Blk 0 Add �.: MERRILL CREEK GARDENS <br /> Frontage: No. of Unite: 1 <br /> � <br /> WATER SERVICE _ <br /> S.O. No. 8330 Application No. 29873 <br /> Fixed: Y Depoeit: N <br /> Svc. Size: 3/4 Svc. Type: SFR Water Permit Fee: S105.00 <br /> Setter Installation Date By I <br /> Meter No. Size Brand � <br /> Meter Installation Date fly I� <br /> Water On Ofz Locked Out IIy I <br /> Remarks:— I <br /> TSG <br /> SE47ER SER\'TCE <br /> ermi o. : <br /> Permit Type: NE4l CONNECTION LID :vo. : <br /> Sewer Permit FeE: 570.00 <br /> Systema Development Fees: <br /> Water j362.00 <br /> Sewer $0.00 <br /> TOTAL: $362.00 <br /> Bond III Connection Charge: <br /> Trunk 50.00 <br /> Lateral $0.�0 <br /> TOTAL: $0.00 <br /> Remarks: C��r+i�� /:,q,_v///J.�cil <br /> � <br /> � � <br /> I / ? - � - 1 � <br /> inspected by �`�. G��O'"� Date <br /> Grand Total: $537.00 <br /> Public Works Copy <br /> ____ ,_..—._..-- -- ..... . .--- -- --- -- •= <br />