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CITY OF EVEPETT <br />UTILITIES TO POSTING 12 -2k-9y <br />PERMIT <br />Date: 12/18/95 CMWO 0: <br />Service Address: 210 73RD ST SW _Change <br />Billing Name: BLODGETT DALTON <br />Billing Addresses 210 73RD ST SW <br />City, State, Zip: EVERETT WA 98203 <br />Phones 853-8533 <br />Legal Description: Lot 0 Blk 0 Addns <br />Frontage: No. of Unite: 1 <br />WATER SERVICE <br />S.O. No. 0 Application No. 0 <br />Fixed: Deposit: <br />Svc. Sizes Svc. Type: Water Permit Fee: $0.00 <br />Setter Installation Dace By <br />Meter No. Size Brand <br />Meter Installation Date_ By <br />Water On Off Locked out By <br />Remarks:— __ <br />TSG <br />Permit No.: JU4Z9 <br />SEWER SERVICE <br />Permit Type: NEW CONNECTION LID No.: <br />Systems Development Fees: <br />Water $0.00 <br />Sewer $0.00 <br />Bond III Connection Charges <br />Trunk $0.00 <br />Lateral $0.00 <br />Remarke: <br />DEVELOPMENT FEES WAVED S <br />Inspected b �Y C��==41 <br />Date <br />Sewer Permit Fees <br />TOTAL: <br />TOTAL: <br />LIE[: 1 8 1995 Grand Total: <br />CITY C)F EVERETT <br />Building Division <br />$70.00 <br />$0.00 <br />$0.00 <br />$70.00 <br />Public Works Copy <br />