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CITV OF EVERETT <br /> UTILlTIES Tb P(1STING �-�____� q-� <br /> PERMIT <br /> Date: OB/19/94 CMWO #: <br /> Service Addreee: 1802 LOMBARD AVE <br /> Billing Name: BAREARA LICHNECKEAT <br /> Billing Address: 1802 LOMBARD <br /> City, State, Zip: EVERE52-6374 WA 98201 <br /> Phone: <br /> Legal Description: Frontage;Blk 0 Addn: No. of Unite: <br /> WATER SERVICE <br /> S.O. No. 0 Application No. 0 <br /> Fixed: lleposit: Water Permit Fee: $0.00 <br /> Svc. Si2e: Svc. Type: <br /> Setter Inetallation Dute BY — <br /> Meter No. Size Brand <br /> Meter Inatallation Uate BY <br /> Remarke: <br /> Backflow Prevention May Be Required <br /> SEWER SERVICE <br /> Permit No. : 29827 <br /> Permit Type: ALTERATION LID No. : <br /> Sewer Permit Fee: $30.00 <br /> Syetems Development Fees: Water S0.00 <br /> sewer S�•00 <br /> TOT7•!.: 50.00 <br /> Bond III Connection ChargeTrunk $0.00 <br /> Lateral $��TOTAL: $O.PO <br /> � - y'` � � ,.�/ y" � �a r�-,c: <br /> Remarke: ��Pl�c" en�S�-5 '" � <br /> ? -- 9 <br /> Inspected by ��G'�����y ''� Date $ - � y <br /> Grand Total $30.00 <br /> Utilities Copy <br />