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10 <br />CITY OF EVERM <br />UTILITIES <br />PERMIT <br />TO POSTING Mp�96 <br />Date: 01/12/96 CHWO is <br />Service Address: 1602 FLORIDA DR 2 _Change <br />Billing Name: BUSTARD PAUL <br />Billing Address: 1373 BLACKCAP ALLEY <br />City, State, Zip: CAMA359ISSLLAATNID WA 98292 <br />Phones <br />Legal Description: Lot 1 Elk 0 Addn: SHORT <br />of Units : 1 <br />Frontage: No. <br />WATER SERVICE <br />S.O. No. 0 Application No. 0 <br />Fixed: Deposit: Water Permit Fee: <br />Svc. Size: Svc. Type. <br />Setter Installation Date By <br />Meter No. Size Brand <br />Meter Installation Date By <br />Water On Off_ Locked Out_ By <br />Remarks:- <br />3/4- SERVICE PURCHASED 10/17/95 - S.O. 8715, AP. 30258 <br />TSO <br />M- SEWER SERVICE <br />.s <br />Permit Type: NEW CONNECTION LID No.: <br />Systems Development Fees: Water <br />Sewer <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Remarks: <br />$814.00 <br />$0.00 <br />0.00 <br />on <br />Sewer Permit <br />TOTAL: <br />TOTAL: <br />$0.00 <br />$70.00 <br />$1,296.00 <br />$0.00 <br />'fot�1 ' � $1366.00 <br />CITY of works copy <br />BUildintl prv'6'ar• <br />