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20W <br /> CITY OF EVERE77 T� <br /> UTILITIES 11 <br /> PERMIT '/ <br /> Dates 07/13/98 CMWO 0: ��`� —1 '-/�] :1rJ�r1`( <br /> Service Address: 2126 61ST ST SE _Change Requeat <br /> Billin Na:ae: SCHUCR RALPH <br /> Billim Address: 20717 36TH AVE NW <br /> City, State, Zips STANWOOD WA 98292 <br /> Phone: 360-652-1309 <br /> Legal Description: Lot 5 Blk 0 Addis: PTNEHURST DIV A <br /> Frontege: No. of Unite: 1 <br /> WATER SERVICE <br /> S.O. No. 9800 Application No. 31343 <br /> Fixed: Y Deposit: <br /> Svc. Size: 3/4 Svc. Type: SFR Water Permit Fee: $650.00 <br /> Setter Installation Date f/ 3o-9Jf By �. TU45M <br /> Meter No._Ijj_g Z-Size 5Brand /J e,8-tum <br /> Meter Installation Date_'I -30-9f( By <br /> Water On Off Locked Out >< Byn. <br /> Remarks:- <br /> TSG 6 <br /> SEWER SERVICE <br /> erF miE-Ao.T---JT%-U7— <br /> Permit Type: NEW CONNECTIO14 LID No. : <br /> Sower Permit Fee: $70.00 <br /> Systeme Development Feee: <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 /> � 2 �5U1� [a) <br /> JUL 15 19% Utilities copy <br /> ITY OF FVEIRE7"i <br /> permit Services <br />