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� <br />TO <br />CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />POSTING '�� <br />�� Q <br />_ 2.� .nQA <br />� <br />Date: 10/10/94 CMWO �f: � <br />Service Addrese: 2726 W MUKI:.TEO BLVD <br />Billing Name: BROKAW ROBERT <br />Billing Addre:ee: PO BOX 254 <br />City, State, 21p: EVERETT WA 98206 <br />Phone: 259-6543 <br />Leqal Deecri?tion: Lot 2 Blk 0 Addn: SHORT PLAT 7-89 <br />Frontane: No. of Unites 1 <br />WATER SERVICE <br />S.O. No. 0 Application No. 0 <br />Fixed: Depoeit: <br />Svc. Size: Svc. Type: Water Permit Fee: <br />setter Inetallation Date gy <br />Meter No. Size Brand <br />Meter Inetallation Date gy <br />Remarke: <br />WATER SERVICE PUACHASED ON S.O. 7863 9/27/93 <br />Backflow Prevantioa May ee Req�iired <br />SEWER SERVICE <br />Permit No.: 29876 <br />Permit Type: NEW COiiNECTION <br />Syeteme Development Fees: <br />Water <br />Sewer <br />Bond III Connection Charqe: <br />Trunk <br />Lateral <br />Remarke: <br />LID No.: <br />Sewer Permit Fees <br />5452.00 <br />$761.00 <br />TOTAL: <br />50.00 <br />S0.00 <br />TOTAL: <br />r';� <br />Inspected by�G>��• Date /� • 7- Sj� <br />Grand Total <br />Permite expire if work is not commenced within 180 daye or <br />ceaeee for more than 180 daye. <br />$0.00 <br />S7U.00 <br />$1,213.00 <br />$0.00 <br />$1283.00 <br />Public Worke Copy <br />