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CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />Date: 30/11/94 CMWO /: <br />Service Addreee: 6426 BEVERLY LN <br />Billing Name: OVERSBY ROLF <br />Billing Addrese: 6426 BEVERLY LN <br />City, State, Zip: EVERETT WA 98203 <br />Phone: 353-0253 <br />Legal Deecription: Lot U Blk 0 Addn: <br />Frontage: <br />— � � t i i�ii�..c�i1�- <br />� <br />� �'a � <br />UCT1i� � <br />99q <br />No. of Unite: <br />_ ....OF n.e-;� �. <br />cirv .... <br />1 <br />WATER SERVICE <br />s.0. No. 0 Application No. 0 <br />Fixed: Depoeit: <br />Svc. Size: Svc. Type: Water Permit Fee: <br />Setter Inetallation Date gy <br />Meter No. Size Brand <br />Meter Inetallation Date gy <br />Water On Off Locked Ont By <br />Remarke:— — — <br />TSG <br />SEWER SERVICE <br />erm o.: <br />Permit Type: AEPAIR LID No.: <br />Systems Development Feea: <br />Water <br />Sewer <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Remarke: <br />Sewer Permit Fee: <br />50.00 <br />S0.00 <br />TOTAL: <br />50.00 <br />50.00 <br />TOTAL: <br />Inapected by (_/<'= (� /�(!/-� Daee /O -i 3- i' <br />Grand Total <br />50.00 <br />$30.00 <br />:0.00 <br />$0.00 <br />$30.00 <br />Inepector Copy <br />c <br />