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CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />Date: 09/29/95 CMWO /: <br />Service Address: 4923 DOGWOOD DR <br />Billing Name: JUBIE AL <br />Billing Address: 1821 19TH DR <br />City, tate, Zip: MUKILTEO WA 98275 <br />Phone: 290-1456 <br />Legal Description: Lot 0 Blk 0 Addn: <br />Frontage: <br />WATER SERVICE <br />S.O. No. 8701 Application No <br />Fixed: Y Deposit: N <br />Svc. Size: 3/4 Svc. Type: SFR <br />Setter Installation Date <br />Meter No. i_Sizea5/ <br />Meter Installation Date_Z-Z�, <br />Water On ✓ off Locked Out <br />Remarks:— <br />TSG <br />_Change Request <br />No. of Unite: <br />30244 <br />By <br />Brand <br />By ('4- , <br />By_ <br />Water Permit Fee: <br />$650.00 <br />ermio.: J IJJ 1.3 <br />SEWER SERVICE <br />Permit Type: NEW CONNECTION LID No.: <br />Systems Development Fees: Sewer Permit Fee: $70.00 <br />Water $482.00 <br />Sewer $814.00 <br />TOTAL: $1,296.00 <br />Bond III Connection Charge: <br />Trunk $0.00 <br />Lateral $0.00 <br />TOTAL: $0.00 <br />Remarks: <br />Inspected by <br />Date <br />Grand Total: 1 $2016.00 <br />Utilities Svcs Copy <br />