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4�ff CITY OF EVERETT UTILITIES TO POSTING <br />PERMIT <br />Datet 18/12/97 CMWO 0: <br />Service Address: 16 73RD ST SW <br />Billing Name: LONG ""N <br />Billing Address: 13000 NWY 99 S <br />City, State, Zip: EVERETT <br />Phone: 356-2700 <br />Legal Description: Lot 11 Blk <br />Frontage: <br />Change Request <br />WA 98204 <br />0 Addn: RIDGE PARK <br />No. of Unite: 1 <br />WATER SERVICE <br />S.O. No. 9486 Application Nr <br />Fixed: Y Deposit: N <br />Svc. Size: 3/4 Svc. Type: SFR <br />Setter Installation Date By <br />Meter No. t "1 Size 314 •1 Brand_ <br />Meter Installation Date By <br />Water On Off Locked Out By_ <br />Remarks: ` -- <br />TSC <br />SEWER S. "T'3 <br />eF-rm i�Ro .:�IZZZ - --- <br />Permit Type: NEW CONNECTION -.lu ho.: <br />31029 <br />Water Permit Fee: <br />$105.00 <br />Sewer Permit Fee: $70.00 <br />Systems Development Fc,c: <br />Water $600.00 <br />Sewer $1,013.00 <br />TOTAL: $1,613.00 <br />Bond III Connection Charge: <br />Trunk 50.00 <br />Lateral 0.00 <br />TOTAL: $0.00 <br />Remarks: <br />O MS-D1g <br />I� Cl) E m <br />Inspected by <br />-fin t+ fi <br />w c Lq po h��C4j'' cpp4i �o o p� N� po Grand Total: <br />T P O 8 N 0 H O O O O N N <br />i u /dV CI -A <br />$1788.00 <br />lf',�C-fI3 q�l s wcrj <br />Address Copy <br />