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�.- <br />CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />Datee 10/30/96 CMWo /a <br />Service Addzeae: 6613 BEVERLY BLVD <br />Billing Neme: GAGNAT CARL/DONNA . <br />Billing Addreee: 6617 BEVERLY BLVD <br />City, State, 21p: EVERETT WA 98203 <br />Phone: 353-0855 <br />�0 I'OSTING AUG 0 4 1991_ <br />1 _Chanqa <br />Lagnl Deecriptions Lot 2 Blk 0 Addn: SP f1202-2-96 <br />Frontage: No. of Unite: 2 <br />WATER SERVICE <br />3.0. !io. 0 Applicntion No. <br />Fixedt Depoeits <br />Svc. Sizes Svc. Type: <br />Setter Inetallntion Date By_ <br />Meter No. Size Brand <br />Meter Inetnllation Date By <br />Weter On Off Locked Out <br />Remarka:— — — <br />1" PURCHASED 8/2/96 S.O. /9038 <br />TSG <br />BY. <br />SEWER SERVICE <br />erm o.i <br />Permit Types NEW CONNECTION LID No.: <br />Syeteme Development Feee: <br />water <br />Sewer <br />Bond III Connection Charge: <br />Trunk <br />Lnteral <br />Remarke: <br />L <br />Water Permit Fee: � S0.00 <br />Sewer Permit Fee: <br />S701.00 <br />51,183.00 <br />TOTAL: <br />so.00 <br />50.00 <br />TOTAL: <br />/ • �� <br />Inepected by � �� Date <br />--3� y, <br />S70.00 <br />$1,884.00 <br />$0.00 <br />G��'otals $1954.00 <br />�����1 <br />� pCS 3� 19g6 Public worke Copy <br />.c q„1d �� �1�� �nj <br />