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CITYOFEVERETT �(� POSTING NOV 2 q �ggJ <br />llTILITIES <br />PERMIT <br />,_.�. .�- <br />Date: OS/20/97 CMWO �: <br />Service Addresa: 921 LOMBARD AVE Change Requea <br />Billing Name: EI�ERETT WMMUNITY WLLEGE <br />Billing Addrese: 801 WETMORE AVE <br />City, State, Zip: EIVERETT WA 98201 <br />Phone: 388-9513 <br />Legal Deacription: Lot 0 Blk 0 Addn: <br />Frontage: No. of Unita: <br />WATER SERVICE <br />S.O. No. 0 Application No <br />Fixed: Depoeit: <br />Svc. Size: Svc. Type: <br />Setter Inetallation Date <br />Meter No. Size <br />Meter inetallation Date <br />By <br />Water On Off Locked Out <br />Remarke:— — — <br />^_'SG <br />By <br />SEWER SERVICE <br />ermi o.: <br />Permit Type: CAP OFF LID No.: <br />SyeCeme Development Fees: <br />water <br />Sewer <br />Bond III Connection Charqe: <br />Trunk <br />Lateral <br />Remarke: <br />Inepected by �.;-� — Date <br />0 <br />Water Permit Fee:� $O.GO <br />Sewer Permit Fee: <br />$0.00 <br />$0.00 <br />TOTAL: <br />$0.00 <br />$0.00 <br />TOTAL: <br />� - z-�-9 7 <br />510.00 <br />50.00 <br />$0.00 <br />Grand Total:� $10.00 <br />I <br />Public Worke Copy <br />