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GTV OF EVERETT Tp P0 .,. .- � z3 - ,� <br /> �'�`'�- UTIUTIES r L _ c <br /> PERMIT �--` � <br /> Dates i.:/2:�9q CMWO /: <br /> Servlce Addrees: 601 lOBTH PL SE Change Requee <br /> Billing Namee PUCSLEY HENRY � <br /> Billing Addreee: 10521 3RD AVE SE I �� <br /> City, State, 2Lp: EVERETT WA 98208 <br /> Phone: XX <br /> Legal Deecripcion: Lot 5 Blk 0 Addn: SP 1202-48-91 I I <br /> Frontage: No. of Unite: 1 <br /> WATER SERVICE <br /> S.O. No. 824g Applicatlon No. 29792 <br /> Fixed: Y Depoelt: N <br /> Svc. Sice: 3/4 Svc. Type� SFR Water Permit Fee: 5305.00 <br /> Setter Inatallation Date gy <br /> Meter r,o.395g D/r Size l/,�(, qrand <br /> Meter Inetallation Date 1-�-R s _ By� � <br /> Water On V Off Locked O�t gy <br /> Remarke:— — — <br /> TSG <br /> SEWER SERVICE <br /> . t <br /> Pernllt Type: NEW CONNECTION LID No. : <br /> Syet�sme Development Fees: Sewer Permit Fees $70,00 <br /> Wator 5362.00 <br /> Sewer $610.00 <br /> TOTAL: $972,00 <br /> Bond III Connection Charga� <br /> Trunk 5330.00 <br /> Lateral 50.00 <br /> TOTAL: 5330.00 <br /> Rema��ke: <br /> inep�3cted by Date <br /> Crand Totel: $1477.00 <br /> Utilitiee Svice Copy <br />