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py FEB 2 7 t997 <br /> CITYOFEVERETT ��,��i�IIYG � <br /> UTILITIES <br /> PERMIT <br /> Date: 06/28/96 CMWO �/: <br /> Service Address: 2715 15TH ST _Change Request <br /> Billing Name: EVERETT HOUSING AUTHORITY <br /> Billing Addre�s: PO BOX 1547 <br /> City, State, Zip: EVERETT WA 98201 <br /> Phone: 303-1103 <br /> Legal Description: Lot 0 Blk 0 Addn: <br /> Frontage: IJo. of Units: <br /> WATER SERVICE <br /> S.O. Ido. 9006 Application No. 30551 <br /> Fixed: Y De�osit: N <br /> Svc. Size: 2" S��c. Type: CA Water Permit Fee: 5260.00 , <br /> Setter Installation Date By '� <br /> Meter No.(O�� , � Size _�� Brand � �L�4�LC � <br /> Meter Insta/llation Date ����1���J� By ��/( . L/ <br /> Water On V Off Locked Out By <br /> Remar�ks:— — — <br /> T.SG <br />� SEWER SERVICE <br /> i ermi o. : �— <br />� Permit Type: NEW CONNECTION LID No. : <br /> I Sewer Permit Fee: $70.00 <br /> Systems Development Fees: <br />� Water 5410.00 <br /> Sewer $691.00 <br /> i TOTAL: $1,101.00 <br /> Bond III Connection Charge: <br /> Tr�nk 50.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarks: <br /> Inspected by Date <br /> � ,„ ,� � Grand Tota1+ 51431.QO <br /> � � �-' D � <br />� JU! 0 ° 1996 <br />�,, .., . . . ............................ Utilities S:cs coPY <br /> ...�Bii I�r Div�io�T <br />