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�I i\\p I q VI�� <br /> CITYOFEVERETfTO POStING ( �) I�` � <br /> UTILITIES <br /> PERMIT <br /> Dat�: O1/12/96 CMWO �1s <br /> Z Chanq� R�quo� <br /> S�rvic� 1lddsa��s 1604 FLORIDA DR _ <br /> Billinq Nam�: BUSTARD PAUL <br /> Billing llddr���s 1373 BLACRCAP ALLEY <br /> City, Stat�. Lip: ��359I0860D WA 98292 <br /> Phon�s <br /> L�q�l D��cription: Fz°,ontage=Blk 0 Addn: SN R afLUnite:95 <br /> WATER SERVICE <br /> S.O. No. 0 Application No. 0 <br /> Fixeds Deposit: Water Permit Fae: 50.00 <br /> Svc. Sis�s Svc. Type: <br /> Sattor in�tallation Date BY <br /> Nat�r No. Size Brand <br /> M.atar Inetallation Data BY <br /> Watar On Of!_ Locked Out_ BY <br /> Raoark�:— <br /> 3/4" SBRVICB PURCHA58D 10/1'!/95 - S.O. 8717, AP. 30260 <br /> TSG <br /> SEWER SERVICS <br /> .s <br /> Patmit Typos NEW CONNECTION LID No. : <br /> Sewer Permit Faes 5�0.00 <br /> Systam� Developn:ent Feea: water 5482•00 <br /> Sewer 5814.00 $1,296.00 <br /> TOTAL: <br /> Bond III Connection ChargeTrunk $0.00 <br /> Lateral $0.00 $0.00 <br /> TOTAL: <br /> Remarke: <br /> /,� L ✓ r� � <br /> Inepacted by / !�l l�C.- Date o� - 'r <br /> � � ��� �Cr;nd Totals S1366.00 <br /> � � <br /> ,�F i,; � G 1996 <br /> " ��-{Y Or `'�EF���I Public Worke Copy <br /> RUI��'�� ���visinr <br />