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CITY OF EVERE17 STING _ 1 2 0 1889 <br /> UTILITIES <br /> PERMIT <br /> Date: 12/12/97 CMWO 01 <br /> Service Address: 1108 57TH ST SE (A&B) _Change Request <br /> Billing Name: STEVEN BARTLOW CONST <br /> Billing Address: 3711 122ND PL SE <br /> City, State, Zip: EVERETT WA 98208 <br /> Phone: 337-9079 <br /> Legal Description: Lot 1 Blk 0 Addn: SHORT PLAT 40-97 <br /> Frontage: No. of Unite: 2 <br /> WATER SERVICE <br /> S.O. No. 9609 Application No. 31152 <br /> Fixed: Y Deposit: <br /> Svc. Size: 1" Svc. Type: DUP Water Permit Fee: $750.00 <br /> Setter Installation Date By <br /> Meter No. SizeBrand <br /> Meter Installation Date By <br /> Water On Off Locked Out By <br /> Remarks:— — <br /> TSG <br /> eSEWER SERVICE <br /> rm o,i�I3Ti7-- <br /> Permit Type: NEW CONNECTION LID No. : <br /> Sewer Permit FeT$70.00Systeme Development Feee: <br /> .later $701.00 <br /> Sewer $1,18:.00 <br /> TOTAL: <br /> Bond III Connection Chargo: <br /> Trunk $0.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarks: <br /> Inspected by �� -'(��/ Dasa <br /> DGrand Total: $2704.00 <br /> DEC 2 G 1997 <br /> circ. (jr E,` ERETT Public Works Copy <br /> Permit Services <br />