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TO POSTING <br />CITY OF ETT <br />UTILITIES 7T6 X—&vil <br />PERMIT(04q <br />Date: 09/09/94 CMWO e: <br />Service Address: 4901 FOWLER AVE K /Y19 Y'SC <br />Billing Name: WASH TECH EDUCATION ASSOC <br />Billing Address: PO BOX 972 <br />City, State, Zip: LACONNER WA 98257 <br />Phone: 466-3952 <br />Legal Description: Lot 25 Blk 0 Addn: BECKONWOOD <br />Frontage: No. of Unite: 1 <br />WATER SERVICE <br />Application No. 29741 <br />Fixed: Y Deposit: <br />Svc. Type: RES Water Permit Fee: <br />Setter Installation Date I —I)- 9 SBy Q S C <br />Meter No. 31 S-1 V015 Size_& Brand 'r-/O <br />Meter Installation Date 1- 3 )' 9 S By 4 14 <br />Remarks: <br />Backflow, Prevention May Be Required <br />SEWER SERVICE <br />Permit No.: 29856 <br />Permit Type: NEW CONNECTION <br />Systems Development Fees: <br />Water <br />Sewer <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Remarks: <br />LID No.: <br />Sewer Permit Fee: <br />$452.00 <br />$761.00 <br />TOTAL: <br />$0.00 <br />$0.00 <br />TOTAL: <br />Inspected by Date <br />1 Grand Total <br />�� �g199A <br />ck P <br />G\�S0Ud+oy <br />$650.00 <br />$70.00 <br />$1,213.00 <br />$0.00 <br />$1933.00 <br />Utilities Copy <br />