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CITY OF EVERETT NQV � 1 �9�� <br /> UTILIT!ES ?� PI�ST1�� _ -----� <br /> PERMIT <br /> Date: 04/04/96 CMWo #: <br /> Service Address: 1231 LOMBARD AVE _Change Request <br /> Hilling Name: GASWINT JW <br /> Billing Address: 720 GRAND AVE <br /> City, State, Zip: EVERETT WA 98201 <br /> Phone: 258-8930 <br /> Legal Description: Lot 0 Blk 0 Addn: <br /> Frontage: No. of Units: <br /> WATER SERVICE . <br /> S.O. No. 0 Application No. 0 <br /> Fixed: � Deposit: <br /> Svc. Size: Svc. Type: Water Permit Fee: $0.00 <br /> Setter Installation Date gy <br /> Meter No. Size Hrand <br /> Meter Inatallation Date gy <br /> � Water On Off Locked Out gy <br /> Remarks:'— — — <br /> TSG <br /> . SEWER SERVICE <br /> ermi o. : - <br /> Permit Type: CAP OFF LID No. : <br /> Systems Development Fees: Sewer Permit Fee: $10.00 <br /> Water $0.00 <br /> Sewer $0.00 <br /> -- TOTAL: $0.00 <br /> Bond IZI Connection Charge: � <br /> Trunk 50.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarks: <br /> Inspected by Date <br /> Grand :otal: $lO.OD <br /> Public Works Copy <br /> � <br />