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I <br /> CITY OF EVERFTT <br /> UTILITIES "n-STING CIE 12 1598 <br /> PERMIT <br /> Date: 12/10/97 CMWO /: <br /> Service Address: 1112 57TH ST SE _Change Request <br /> filling Name: STEVEN BARTLOW CONST. <br /> Billing Address: 3713 122ND PL SE <br /> City, State, Zip: EVERETT WA 98208 <br /> Phone: 425-337-9079 <br /> Legal Description: Lot 2 Blk 0 Addn: SHORT PLAT 40-97 <br /> Frontage: No. of 'Units: 1 <br /> _ WATER SERVICE _ <br /> S.O. No. 9607 Application No. 31150 <br /> Fixed: Y Deposit: <br /> Svc. Size: 3/4 Svc. Type: SFR Water Perwit Fee: L0.00 <br /> Setter Installation Date By <br /> Meter No. Size Brand <br /> Meter Installation Date___ __ By_ _ <br /> Water On Off Lncked Out__ By <br /> Remarks:— <br /> $650 REFUNDED. CONVERSION FROM PREVIOUS HOUSE ON LOT <br /> TSG <br /> SEWER SERVICE <br /> ermi o. : <br /> Permit Type: NEW CONNECTION LID No. : <br /> Sewer Permit Fee: $70.00 <br /> Systeme Development Fees: <br /> Wats. $482.00 <br /> Sewer $814.00 <br /> TOTAL: $1,296.00 <br /> Bond III Connection charge: <br /> Trunk $O.OJ <br /> Lateral $0.00 <br /> TOTAL: $0. )O <br /> Remarks: <br /> i <br /> In.pected by_ Date_ <br /> Grand Total: $1366.00 <br /> Address Copy <br />