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Ff � s iss7 <br />RECE►v�a <br />CIT'OFEVERETI' ^�4�TI!`!�G ap�.5 1997 <br />I�TILITIES <br />PERMIT UiILIiY SERVICES <br />Date: 04/O1/97 CMWO �: <br />Sei�vice Addreee: 2002 LINCOLN ST <br />dilling Name: JELLISON GARY <br />Billing Addrese: 1132 178TH ST SW <br />City, State, Zip: LYNNWOOD FA 98037 <br />Phone: 210-5893 <br />Legal Deacription: Lot 0 Blk 0 Addn: <br />Frontage: <br />_Change Requee <br />Wo. of Unite: <br />WATER SERVICE <br />S.O. No. 9322 Application No. <br />Fixed: Y Depoeit: N <br />Svc. Size: 3/4 Svc. Type: SFR <br />Se�:ter Inetaliation Date By <br />Meter No. �4 3�. Size J�_ Brand� <br />Meter Inetallation Late�O -/ 7-� By ` J <br />i <br />Water On ✓ Off Lockecl Out_ By_ <br />Remarke:— — <br />TSG <br />SEh'ER SERVICE <br />ermi o.: <br />nermit Ty�,e: NEW CONNECTZON LID No.: <br />Systeme Uevelopment Fees: <br />Water <br />Sewer <br />Bond IZT Connection Charge: <br />Trunk <br />Lateral <br />Remarks: <br />30865 <br />Water Permit Fee:� $105.00 <br />Sewer Permit Fee: <br />5482.00 <br />$814.00 <br />TOTAL: <br />$0.00 <br />$0.00 <br />TOTAL: <br />Incpected by �ate <br />, ��,� J�� C��� <br />1 � <br />�'— r�,r � a i ��y� <br />. ................. <br />�ITY OF EVERE�T <br />3uildin�;; Divwicr. <br />$70.00 <br />$1,296.00 <br />Grar.d Total:� 51471.00 <br />Uti.lities Svice Copy <br />