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� <br />� <br />T� P�STfyG �a"S"��° <br />CITY OF EVERETT <br />uPERM TS ( <br />Date: 05/29/96 CMWO �:�(� <br />Service Addreee: 220 DORN AVE <br />� Billinq Name: DORRAH LOREN <br />� Billinq Addreee: 28206 LINCOLN WY <br />City, State, Zip: JYNNWOOD WA 98036 <br />Phona: 787-6700 <br />_Chanqe Requeet <br />Leqal Deecription: Lot _�5 JBlk 0 Addn: SHORT PLAT 27-95 <br />Front'3iJia No, of unite: 2 <br />WATER SERVICE <br />S.O. No. 8935 Application No. 30478 <br />Fixed:'Y Depoeit: <br />Svc. Size: 1 Svc. Type: MA Water Permit Fee: <br />Setter Inetalla on Ddate 6��y Q y_ yZ.� <br />Meter No. �6�zo! Size � � Brand <br />Meter inetallation Date ��/(A�9,6 gy , � r0 <br />Water On off Lor.ked Out� By e�-tZ ll� <br />Remarke:— — <br />TSG <br />SEWER SERVICE <br />erm o.: <br />Permit Type: NEW CONNECTION LID No.: <br />Syeteme Development Fees: <br />Water <br />Sewer <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Remarke: - <br />Inepected by <br />Sewer Permit Fee: <br />5701.00 <br />$1,183.00 <br />TOTAL: <br />S330.00 <br />$395.00 <br />TOTAL: <br />Date <br />Grand Total: <br />������ <br />MAY 3 01996 <br />.................................... <br />CITY OF EVERETT <br />Buildiny Division <br />5750.00 <br />S70.00 <br />$1,884.00 <br />5725 00 � <br />.:., <br />: Yf:K�'�' . . <br />. . i • ' :". :- . <br />$3429.00 <br />Utilitiea Copy <br />