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. .� <br /> . ,;��,�f� � <br /> CITY O;°EVERETT pU6 0 5 2�02 <br /> UTILITIES TO PASTING <br /> PERMIT <br /> Dat�: 05/18/99 CMWO fs //0���/ '(pfp`f rl + f�d� / f <br /> S�rvic� 71ddr���: 4935 6LENWOOD AVE _Ch�nq� Requ��t <br /> Sillinq Nam�t WA71Y MICHIISL <br /> Hillinq Addr���: 4931 OLENi100D 11VE <br /> City, Stat�, Zip: EVERB7'T itA 98203 <br /> Phon�: 425-252-5129 <br /> L�qal D��eription: Let 1 Blk 0 Addn: SP f24-97 <br /> Frontaq�: No. of Unit�: 1 <br /> W7►TER SERVICP: <br /> 8.0. No. 10100 1�pplicatian No. 32643 <br /> Fix�d: Y Dapo�it: N <br /> Svc. 81:�: 1" Svc. Typ�s SFR W�t�r parmit fN: $750.00 <br /> S�tt�r In�tallation Dat� By <br /> M�t�r No.�fQ��,ZS/S' Siaa��� Hrand . <br /> M�t�r In�tallation Date �^Y d0 By ' ota�,�/�_ <br /> Wat�r On Off Locked Out� By �1 U ^� <br /> Remarks:— — <br /> SPRZNKLSRS REQ'D/SHORT PI.�T CONDITION ��D�� p.z <br /> T8a �� - s��y��9 � ` <br /> SEWER SERVICB � <br /> Permit Typa: LID No. s <br /> Sewer Permit F�s: $0.00 <br /> Systams Devalopment Feee: <br /> Water $0.00 <br /> Sewer $0.00 <br /> TOTAL: $0.00 <br /> Sond III Connection Charge: <br /> Trunk $0.00 <br /> Lataral $0.00 <br /> TOTAL: $0.00 <br /> Remarka: <br /> Inepectad by Date <br /> a � � �� �� Grand Totalt $750.00 <br /> � i y �y� ' <br /> MA. <br /> vtiiitt.. copy <br /> ��iP rmt Serv Rs1� <br /> i� <br />