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CITYOFEVERETT TO POSTING Z��z -J�-. <br />UTILITIES <br />PERMIT ��o�,�� <br />Date: 09/15/95 CMWO /: <br />Change Requeet <br />Service Addreee: 122 73AD ST SW — <br />Billing Name= MATTESON JAMES/ICAY <br />Billing Addreee= 15418 29TH AVE SE <br />City� State� Zip: MILL CAEEK WA 98012 I <br />Phone� 316-8361 <br />Legal Deecriptiont Frontege:Blk 0 Addn: RN�GEofAUnite: 1 <br />WATER SERVICE _ <br />S.o. �o. 8693 Applicatlon No. 30236 <br />Fixed: Y Depoeit: N <br />&vc. Sizes 3/4 &vc. Typoe SFR <br />Setter Installation Date g% <br />Meter No.���%Cf� Siz p__ Brand <br />Meter Inetall ion Date //�'6 "�z BY_1���� <br />Water On �ff_ I,ocked Out_ �Y <br />Aemarke:-- <br />TSC <br />SEWEA SERVICE __ <br />pb .t <br />Permit Types N6W CONNECTION LID No.: <br />Syeteme Development Fees: Water <br />Se:uer <br />Bond III Connection ChargeTrunk <br />Lateral <br />Remarke: <br />Inepected by <br />Water Permit Fee: <br />Sewer Permit Feea <br />5014.00 <br />TOTALt <br />$0.00 <br />TOTAL= <br />5105.00 <br />$70.00 <br />51,296.00 <br />50.00 <br />� � � � �rand Total: 51471.00 <br />, � C� <br />l-� �;�p 1 � tgg5 <br />����'�� Utilitiee Svice copy <br />��,'TY UF EVEftI'1, <br />P.uildinp D�visinr <br />