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�� <br />� <br />CITY OF EVEfiETT <br />UTILITIES <br />PERMIT <br />Date: 05/29/96 CMWO �:�� _ <br />Service Address: 216 DORN AVE <br />Billing Name: DORRAH T.OREN <br />Billin4 Addreee: 28208 LINCOLN WY <br />City, State, Zip: LYNNWOOD WA 98036 <br />Phone: 787-6200 <br />-����T1N� ► � -�S � ��' <br />Change <br />Legal Description: Frontage:Blk 0 Addn: SNO�RTofLUnits:95 2 <br />WATER SERVICE � <br />S.O. No. 8934� Application No. 30477 <br />Fixed: Y Depoeit: Water Permit Fee: <br />Svc. Size: 1 Svc. Type: MA <br />Setter Inetallation Date �—� y-� BY ��� � <br />Meter No � ��+2705 ysize / �' Brand �_ <br />Meter Installation Date G �y_Q� $Y �Z � <br />Water On Off_ Locked Out� BY �'Z � <br />Remarke:— <br />TSG !'/� _ <br />SEWER SERVICE <br />erm o.: <br />Permit Type: NEW CONNFCTION LID No.: <br />Systeme Development Feee: �,ater <br />Sewer <br />Bond III Connection ChargeTrunk <br />Lateral <br />Remarke: <br />inepected <br />Sewer Permit Fee: <br />$701.00 <br />$1,183.00 TOTAL: <br />$395.00 <br />TOTAL: <br />Date <br />Grand Total: <br />����D <br />a 96 <br />MAY 3019 <br />. .......................... <br />CITY OF EVEHETT <br />Buildin� Division <br />$750.00 <br />$70.00 <br />$1,884.00 <br />$725.00 <br />$3429.00 <br />Utilitiee Copy <br />