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/^/�� . <br />�� <br />/- <br />CITV OF EVERETT <br />UTILITIES <br />NERMIT <br />�0 POSTIh'G�rn <br />Date: 10/12/95 CMWO #: . ��0 "1!� (olp�-�7�'] <br />Ses,�ice Address: 3829 HOYT AVE 1 _Change <br />Billing Liame: EVERETT CLINIC <br />Hilling Address: 3901 HOYT AVE <br />City, State, 2ip: EVERETT WA 98201 <br />Phone: 339-5460 <br />Legal Description: Lot 0 Blk 0 Addn: <br />Frontage: No. of Units: <br />WATER SERVICE <br />S.O. No. 8712 Application No. 30255 <br />Fixed: Y Deposit: N <br />;ivc. Size: 1" Svc. Type: IRR �/; Water Permit Fee: <br />Setter Installation Date ��9"'��P gy �✓�G '�Y% <br />Meter No. L! �7C' Z r/G3lsize �� ��� <br />_� Brand <br />Meter Installation Date �-C�- �G, gy �,�J(��(.�� <br />Water On Off V Locked Out By /(,���„�.;�C...-. <br />Remarks:— T — — <br />�, ; � s ��' R .� /� �j �� � � �%<, y� � � , .�fr--�,-�.� <br />TSGJG� <br />SEWER SERVICE <br />ermi o.: <br />Permit Type: LID No.: <br />Systema Development Fees: <br />Water 50.00 <br />Sewer $0.00 <br />Bond TII Connecticn Charge: <br />Trunk <br />Lateral <br />Remarks: <br />Inspected by <br />Date <br />50.00 <br />50.00 <br />Sewer Permit Fee: <br />TOTAL: <br />TOTAL: <br />7_and Total: <br />$750.00 <br />50.00 <br />$0.00 <br />50.00 <br />$750.00 <br />� � � � _ � p_ � Utilities Copy <br />� / <br />'�, <br />