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cm oF�r�T <br /> UTILITIES `OSTING ^� 2 0 �e <br /> PERMIT <br /> � �_ <br /> Dat�: 06/13/98 Chanqs R���t <br /> S�rvic� 1►ddra��: 2716 BVERSTT r� — <br /> Billinq Naa�= MUTH ANUY <br /> eilliny 1lddra��: = 2�71E4���TT A�w� 98201 <br /> City, $tit�� �ip 425-294-7058 <br /> Phon�s <br /> L�q�l Da�criptione Lot 0 Blk 0 Addns No of Units: <br /> Frontaga: __ <br /> WATBR SSRVICB <br /> }�pplication No. � <br /> S.O. No. � 0.00 � <br /> Fixad: De��osits Watar Permit Fo�= s <br /> S�c. Sizes Svc. Type= <br /> By <br /> s�tt�r inetallstion Date� <br /> Heter No. <br /> Siae Hrand <br /> Kater Installation Date_� <br /> By <br /> Water On_ Off_ Locked out_ BY <br /> Remarkr= <br /> TSG <br /> ggW6R SERVICS ��----�—� <br /> a •_ <br /> Patmit Type= 1t8PAIR <br /> LID t�o• � 30.00 <br /> Sewer Pernit F�ei <br /> Syeteme Developnent Feees water $0.00 <br /> Sawer $0.00 �Tw: $0.00 <br /> Bond III Connection ChargeTrunk S0.00 <br /> Lateral $0.00 �T�i $0.00 <br /> Aemarke: <br /> CONTRACTOR: C��us �LB�G 6 H�(�3; ��� J�3��UG <br /> ( ' (P.q' (� V� 7 h <br /> Inepected by�'l/1 � �"� Date ���� —�� <br /> Grand Total: $30.00 <br /> Public Worke Copy <br />