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. CITY OF EVEflETT <br /> UTILlTIES ; '��'��TING �Es 2 v ������ <br /> PERMIT <br /> Date: 06/28/96 CMWO #: <br /> Service Address: 2715 15TH ST <br /> Hilling Name: EVERETT HOUSING AUTHORITY —Change Request <br /> Billing Address: PO BOX 1547 <br /> City, State, Zip; EVERETT WA 98201. <br /> Phone: 303-1103 <br /> Legal Description: Lot 0 Blk 0 Addn: <br /> Frontage: <br /> No. of Units: <br /> WATER SERVICE <br /> S.O. No. 9008 Application No. 3055i <br /> Fixed: �Y Deposit: N <br /> Svc. Size: 2'� Svc. Type: CA <br /> Water Permit Fee: $260.00 <br /> Setter Installation Date 8 <br /> Y <br /> Meter No. Size <br /> Brand <br /> Meter Znstallation Date B <br /> Y <br /> Water On Off Locked Out <br /> Remarka:— — _ By <br /> TSG <br /> ermi o. : SEWER SERVICE <br /> Permit Type: NEW CONNECTION <br /> LID C7o. : <br /> Systema Development Fees: Sewer Permit Fee: $70.00 <br /> Water $410.00 • <br /> Sewer $691.00 <br /> TOTAL: 51,101.00 <br /> Bond III Connection Charge: <br /> Trunlc 50.00 <br /> Lateral $0.00 <br /> Remarks: TO:�.'AL: $0.00 <br /> Inapected by �� Date � —�(/ �j <br /> Grand Total: 51431.00 <br /> � � � � � n <br /> � I� L_J � <br /> .�i,� a � �9ys <br /> Pvblic Works Copy <br /> .................................... <br /> CITY OF EVERETT <br /> Duildin� Division <br />