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CITV OF EVERETT <br /> UTILITIES �0 POSTING I�- -� � �� <br /> PERMIT <br /> Dsta� 02/22/45 CHWO /i <br /> Service Addrees= 2224 CLEVELAND AVE _Chang�, Requee <br /> Billinq Names JACOBSEN LEN/FRAN <br /> Billing Addraesi PO BOX 2523 <br /> City, Stata, Zip� EVERETT WA 98203 <br /> Phona: 347-6421 <br /> Laqal Description� Lot 0 Blk 0 Addn: <br /> Frontege: No. of Unite: 1 <br /> WATER SERVICE _ <br /> 8.0. No. 0 Applicetion No. 0 <br /> Fixedt Depoelts <br /> 8vc. Size� Svc. Type� Weter Permit Fees 50.00 <br /> 8etter Inatallstian Dete By <br /> Meter No. Size Brend <br /> Meter Inetellation Dete By <br /> Wetar On Off Locked Out By <br /> Remerkes— — — <br /> T86 <br /> SEWER SERVICE <br /> Permit Typat ALTEAATION LID No. t <br /> Sewer Permit Fee: 530.00 <br /> Syeteme Development Feee= Water $0.00 <br /> Sewer $0.00 <br /> TOTALi 50.00 <br /> eond III Connection ChargeTrunk $0.00 <br /> Lateral $0.00 <br /> TOTALi 50.00 <br /> Remerke: <br /> � �i- � /� -� �' , ���" <br /> Inepected by <br /> � �I� VL/� Dete J �... C � <br /> Grand Total� $30.00 <br /> Publlc Worke Copy <br />