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jUN X 3 1996 <br /> CIT��,� <br /> T OF ITIEVEETT QpSTING _---- - <br /> UTILITIES <br /> PERMIT <br /> Date: 07/11/95 CMWO /: _ <br /> i <br /> Service Address: 1114 59TH PL SW _Change Request'. <br /> Billing Name: SELECT HOMES INC <br /> Billing Address: 12811 8TH AVE W PA-201 <br /> City, State, Zip: EVER513-9006 WA 98204 <br /> Phone: <br /> Legal Description: Lot 43 Blk 0 Addn: MERRILL CREEK GARDENS <br /> Frontage: No. of Units: 1 <br /> WATER SERVICE <br /> S.O. No. 8620 Application No. 30163 <br /> Fixed: Y Deposit: Water Permit Fes: $105.00 <br /> Svc. Sizes 3/4 Svc. Type: RES <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 /> ermi o. : <br /> Permit Type: NEW CONNECTION LID No. : <br /> Sewer Permit Fee: $70.00 <br /> Systems Development Fees: Water $482.00 <br /> Sewer $0'00 TOTALS $482.00 <br /> Bond III Connection Charge: <br /> Trunk $0.00 <br /> Lateral $0'00 TOTAL: $0.00 <br /> Remarks: <br /> Inspected by `"lja.»-- Dat <br /> Grand Totals $657.00 <br /> `l\J.4 <br /> - <br /> G\�J\�X, Public Works Copy <br />