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fit;^ <br />CITY OF EVERETT ocl 2 6 1996 <br />UTILITIES 1iiPdci <br />PERMIT <br />Date: 09/29/95 CMWO 0: <br />Service Address: 4923 DOGWOOD DR _Change <br />Billing Name: JUBIE AL <br />Billing Address: 1821 19TM DR <br />City, State, Zip: MUKILTEO WA 98275 <br />Phone: 290-1456 <br />Legal Description: Lot 0 Blk 0 Addn: <br />Frontage: No. of Unite: <br />WATER SERVICE <br />S.O. No. 8701 Application No. 30244 <br />Fixed: Y Deposit: N <br />Svc. Size: 3/4 Svc. Type: SFR Water Permit Fee: <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 />TSG <br />SEWER SERVICE <br />er-mi o.: <br />Permit Type: NEW CONNECTION LID No.: <br />Systems Development Fees: <br />Water $482.00 <br />Sewer $814.00 <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Remarks: <br />Inspected by <br />$0.00 <br />$0.00 <br />Sewer Permit Fee: <br />TOTAL: <br />TOTAL: <br />SC <br />$650.00 <br />$70.00 <br />$1,296.00 <br />$0.00 <br />Grand Total: $2016.00 <br />[� �U�C) <br />`Ill!- 3 01996 Public Works Copy <br />.................................... <br />CITY OF EVERETT <br />Building Division <br />