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S <br />� <br />CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />Date: OS/29�96 CMWO ,f: <br />Service Addreea: 224 DORN AVE <br />Billin9q Addrees: 2820BHLINCOLN WY <br />City, State, 2ip: LYNNWOOD WA 98036 <br />Phone: 787-6700 <br />Leqal L-�ecription: Lot 6 Alk 0 Addn: SHORT PLAT 27-95 <br />Frontage: No. of Units: Z <br />'� J POSTINt; I � -,5 -�k� <br />_Change Aequeet <br />WAT!'R SERVICE <br />S.O. No. 6936 Application No. <br />Fixed:�Y Depoeit: <br />Svc. Size: 1 Svr., Type: MA <br />Setter Inetallation Date <br />Meter No. Size <br />Meter Inetallation Date <br />Brand <br />By <br />Water On Off Locked Out gy <br />Remarke:— — -- <br />TSG <br />ermi r <br />Permit <br />_�_ SEWER SERVICE <br />:EW CONNECTION LID No.: <br />Syateme Development Feee: <br />water <br />5ewer <br />Bond iII Connection Charge: <br />Trunk <br />Lateral <br />Remarke: <br />30479 <br />Water Permit Fee: <br />Sewer Permit Fee: <br />S701.00 <br />51,183.00 <br />TOTAL: <br />5330.00 <br />5395.00 <br />TOTAL: <br />� .�.`�i'�% _ .. - � _ <br />S750.00 <br />S70.00 <br />S1,884.00 <br />5725.00 <br />Grand Total: $3429.00 <br />�����D <br />v � 01�96 <br />MA. � <br />. . ...... .................. <br />Public Worke Copy <br />GIT\' Of EVERETT <br />Buildin� Division <br />