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CITY OF EVERETT <br />UTILITIES <br />'PER -MIT <br />TO P0STINO FEB :91 <br />Date: 11/13/95 CMWO 0: _/ /0 J -6& y -�733 <br />Service Address: :'iDBN"EVEREIT MALL NY 2 -.-Change Requesl <br />Billing Name: STRICKLAND TOM <br />Billing Address: 929 CARY RD <br />City, State, Zip: EDMONDS VIA 98020 - <br />Phone: X <br />Legal Description: Lot 0 Blk 0 Addn: <br />Frontage: No. of Unite: <br />WATER SERVICE <br />t;:' `F1733 Application No <br />Fixed: Y Deposit: <br />Svc. Type: IRRIG / <br />Setter Installatyon D''ajjtel�By_� <br />Meter No. 1 '70 /) ) 3CJSize "f Brand_[Zi <br />Meter Installation Date /O By eu, <br />Water On Off Locked Out By <br />Remarks:— <br />SEWER SERVICE <br />ermi o.: <br />Permit Type: LID No.: <br />Systems Development Fees: <br />Water $0.00 <br />Sewer $0.00 <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Remarks: <br />Inspected by <br />$0.00 <br />$0.00 <br />,CV <br />30276 <br />Permit Fee:1 $750.00 <br />Sewer Permit Fee: <br />TOTAL: <br />TOTAL: <br />$0.00 <br />$0.00 <br />$0.00 <br />11 <br />Grand Total:j $751.00 <br />Utilities Copy <br />