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CITY OF FVERETT <br /> UTILITIES 10STING ocr 12 1998 <br /> PERMIT <br /> Date: 12/10/97 CMWO I: _ <br /> Service Address: 1112 57TH ST SE _Change Request <br /> Billing Name: STEVEN BARTLOW CONST. <br /> Billing Address: 3711 122ND PL SE <br /> City, State, Zips EVERETT WA 98208 <br /> Phone: 425-337-9079 <br /> Legal Description: Lot 2 Blk 0 Addn: SHORT PLAT 40-97 <br /> Frontage: No. of Unite: 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 Permit Fees $650.00 <br /> Setter Installation Date By <br /> Meter No. Size _ Brand_ <br /> Meter Installation Date By__ <br /> Water On Off Locked Out By_ <br /> Remarks:— <br /> TSG <br /> SEWER SERVICE <br /> erm o. : <br /> Permit Type: NEW CONNECTION LID No. : <br /> Sewer Permit Fee: $70.00 <br /> Systeme Development Fees: <br /> Water $482.00 <br /> Sewer $814.00 <br /> TOTAL; $1,296.00 <br /> Bond III connection charge: <br /> Trunk $0.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarks: <br /> Inspected by Date <br /> Grand Total: $2016.00 <br /> DEC ^G 1997 <br /> Public Works Copy <br /> crcY ()FLvriieTr <br /> Permit SCTViccS <br />