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CITY OFEVERETT •' �'OSTING JUN 13 1ggs <br />UTILITIES --- <br />PERMIT <br />Date: 10/27/95 CMWO 0: <br />Service Addrens: 25 73RD ST SW _Change <br />Billing Name: MATTESON JAMES/KAY <br />Billing Address: 15418 29TH AVE SE <br />City, State, Zip: MILL CREEK WA 98012 <br />Phone: 316-8361 <br />Legal Description: Lot 8 Blk 0 Addn: RIDGE PARK <br />Frontage: No. of Unite: 1 <br />WATER SERVICE <br />S.O. No. 8724 Application No. 30267 <br />Fixod: Y Deposit: N <br />Svc. Size: 3/4 Svc. Type: SFR Water Permit Fee: <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.: Juitol <br />Permit Types NEW CONNECTION LID No.: <br />Systems Develolxnent Fees: <br />Water $482.00 <br />Sewer $814.00 <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Remarks: <br />Inspected by (11.,6e �r.•.r <br />$0.00 <br />$0.00 <br />Sewer Permit Fee: <br />TOTAL: <br />TOTAL: <br />Date i/- 2 ) - V <br />$105.00 <br />$70.00 <br />$1,296.00 <br />$0.00 <br />Grand Total:l $1471.00 <br />IIII 001 27 1999 Public Works Copy <br />............... ....... I......... <br />CITY OF i VEITEII <br />Building DIVISIOn <br />