Laserfiche WebLink
� <br />CITY OF EVEFiETT <br />UYILITIES <br />PERMIT <br />.'"�P�lN6 �a'�`�S� <br />Date: 05/29/96 �O #: <br />Service Addreee: 220 DORN AVE _Chanqe Request <br />Billing Name: DORRAH LOREN <br />Billinq Addraae: 28208 LIN:;OLN wY <br />City, Stato, Zip: LYNNWOOD WA 98036 <br />Phone: 787-6700 <br />Leqal Deecription: Lot 5 Blk 0 Addn: SHORT PLAT 27-95 <br />Frontage: 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 inetallation Date BY <br />Meter No. Size_ Brand <br />Meter Inetallation Date BY <br />Water On Off Locked Out_ By <br />Aemarke:— — <br />TSG <br />SEWER SrRVICE <br />ermi o.t <br />Permit Type: NEW CONNECTION LID No.: <br />Syeteme Development Feee: <br />Water S'101.00 <br />Sewer 51,183.00 <br />- Bond Iii Connection Charge: <br />Trunk <br />' . Lateral <br />Aemarke• <br />$395.00 <br />Sewer Permit Fee: <br />TOTAL: <br />TOTAL: <br />Inepected b Date <br />Grand Total: <br />- :-. ����� <br />,._.� a <br />MAY 3 01996 . <br />. . ......................... <br />CITY OF EVERETT <br />Buildin� Divis�on <br />5750.00 <br />570.00 <br />$1,884.00 <br />5725.00 <br />>;`. <br />$3429.00 <br />Public Works Copy <br />