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CITYOFEVERETT -,� �,�ST�N� AU=�"�lf <br /> UTIUTIES <br /> P�RMI�' <br /> Dote: 02/16/96 CM[9O #: <br /> Service Address: 5406 13TH AVE W _Change Request <br /> Billing Name: METCO HOMES LLC <br /> Billing Address: 16913 BOTHELL EVT HWY <br /> City, State, 2ip: BOTHELL WA 98012 <br /> Phone: 316-0261 <br /> Legal Description: Lot 20 Blk 0 Addn: MERRILL CRK PH 4 <br /> Frontage: No. of Units: 1 <br /> WATER SERVICE <br /> S.O. No. 8801 Application No. 30344 <br /> Fixed: �Y Deposit: N <br /> Svc. Size: 3/4 Svc. Type: SFR Water Permit Fee: $105.00 <br /> Setter Installation Date By <br /> Meter No. Size Brand <br /> Meter Installation Date By <br /> Water On Off Locked Out By <br /> Remarks:— — — <br /> TSG <br /> SEWER SERVICE <br /> ermi o. : <br /> Permit Type: NEW CONNECTION LID No. : <br /> �ewer Permit Fee: j70.00 <br /> Systems Development Fees: <br /> Water $q82.00 <br /> Sewer $0.�0 <br /> TOTAL: $982.00 <br /> Bond III Connection Charge: <br /> Trunk $0.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarks: <br /> Inspected by :�, S(�y�n� Date 3- Y•i"� <br /> ^ � � n n �('� Grand Total: $657.00 <br /> IJ � � � � , <br /> ; ;J 1 <br /> L� <br /> FFB 2I 1996 <br /> . . ......................... Public Works CoPY <br /> C17Y OF EVERE"I1 <br /> I"oulldinc� Division <br />