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...-_-- -� _--"�. <br /> CITYOPEVEFETf hkj ���TI�lG AUG�— <br /> UTILITIES 9 <br /> PERMIT <br /> Date: 06/30/97 CMWO #: <br /> Service Address: 2026 LOMBARD AVE _Change Reques <br /> Billing Name: JOHNSON RANDY <br /> � Billing Address: 2026 LOMBARD AVEWA 98201 <br /> City, State, Zip: EVER6�8_��32 <br /> Phone: <br /> Legal Deacription: Lot 0 Blk 0 Addn� No. of Units: <br /> Frontage: <br /> WATER SERVICE I <br /> S.O. No. 0 Application No. 0 <br /> Fixed: Deposit: Wacer Permit Fee: $0.00 <br /> Svc. Size: Svc. Type: <br /> Setter Installation Date BY <br /> Meter No. Size Brand <br /> Meter Inatallation Date BY . <br /> Water On Off_ Locked Out_ By <br /> Remarke:— <br /> Tt;G <br /> SEWER SERVICE • <br /> Fermi o. : �' <br /> '�i <br /> Permit Type: ALTERATION LID No. : , _�:� <br /> Sewer Permit I'ee: 530.00 <br /> Syetems Development Fees� Water $0.00 <br /> Sewer 50.00 TOTAL: $0.00 <br /> Bond III Connection Char.geTrunk $0.00 <br /> Lateral 50.00 TOTAL: 50.00 <br /> Remarks: <br /> Inepected by <br /> �G�'��-- Date 7� Z z - 5� <br /> Grand Total: $30.00 <br /> Public Works Copy <br />