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^ CITYOFEVERETT �I�: �',,���IIlG � � Y �1 <br /> UTILITIES <br /> PERMIT <br /> Date: 09/09/96 CMWO #: <br /> Service Addrees: 5425 13TH AVE W _Change Request <br /> Billing Name: NET�O HO1�.ES LLC <br /> Bi.11ing Addrens: 18913 BOTHEI,L-EVT HFY <br /> Ci.ty, State, ::ip: BOT4ELL W}1 5'8012 <br /> Phone: 481-0665 <br /> Legal Description: Lot 5 dlk 0 Hddn: MERRILI, CREEK PH 4 <br /> Frontage: No. of Unite: 1 <br /> Wt1TER SERVICE � <br /> S.O. No. 9090 Application No. 30633 <br /> Fixed: Y Depoait: <br /> Svc. Size: 3/4 Svc. Type: SFR Water Permit Fee: $105.00 <br /> Setter Inatallation 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 SERVIC: <br /> I rm�. o. : <br /> Permit Type: NEW CONNECTION LID No. : 1 <br /> Sewer Permit Fee: $70.00 <br /> Syetema Development Fees: <br /> Water 5482.00 <br /> Sewer 50.00 <br /> TOTAL: $482.00 <br /> Bond III Connection Charge: <br /> Trunk $0.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarks: <br /> Insp�c�te�b� r/ - Date ��c'. 7_y� <br /> � srP i i »ss <br /> Grand Total: $657.00 <br /> . . .......................... <br /> CITY OF EVERETT <br /> Duilding Division <br /> Public Worke Copy <br />