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� <br />� <br />CITY OF EVERETT <br />UTILITIE� <br />PERMIT <br />''�STING ;- s ,sG� <br />Date: 08/28/97 CMWO #`: <br />Service Address: 721 LAUREL DR _Change Requeet <br />Billing Name: SHAMHART DAVID/MARIA <br />Billing Address: 721 LAUREL DR <br />City, State, 2ip: EVERETT WA 98201 <br />Phone: 259-4503 <br />Legal Deseripticn: Lot 0 Blk 0 Addn: <br />Frontage: No. of Units: <br />WATER SERVICE <br />S.O. No. 0 Application No <br />Fixed: Depoeit: <br />Svc. Size: Svc. Type: <br />Setter Znetallation Date <br />Meter No. Size <br />Metec Inetallation Date <br />Water On Off Locked Out <br />Aemarke:— — ' <br />TSG <br />Hy <br />By <br />SEWER SERVICE <br />ermi o.: <br />Permit Type: ALTERATION LIO No.: <br />Systeme Development Fees: <br />Water $0.00 <br />Sewer 50.00 <br />Bond III Connection Charge: <br />Trunk 50.00 <br />Lateral $0.00 <br />0 <br />Water Permit FeP: <br />Sewer Permit Fee: <br />TOTAL: <br />TOTAL: <br />Remarks: <br />CONT,$, �JCTOI<: GO CONSTRlUCTIOY <br />T\C'p�acn y�� (�A`.c w/ l � �VC� <br />Inepected by �t��-L--- Date F� - 3�-5 � <br />Grand Total: <br />S0.00 <br />530.00 <br />$0.00 <br />,',0.00 <br />$3Q.00 <br />Public Worke Copy <br />� <br />