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El <br />CITY OF EVERETT TO <br />UTILITIES <br />PERMIT <br />Date: 10/10/94 CMWO /: _ <br />Service Address: 2732 W MUKILTEO BLVD <br />Billing Name: BROKAW ROBERT <br />Billing Address: PO BOX 254 <br />City, State, Zip: EVERETT <br />Phone: WA 98206 <br />259-6543 <br />Legal Descri do <br />POSTiNG..AUG 09;191!g DD <br />VON <br />p n. Lot a Uix 0 Addn: SHORT PLAT 7-89 <br />Frontage: No, of Units: 1 <br />WATER SERVICE <br />S.O. No. p <br />Application No. <br />Fixed: Deposit <br />Svc. Size: S% Type: <br />Setter Installation Date By <br />Meter No. Size <br />� Brand <br />Meter Installation Date BY <br />Remarks: <br />WATER PURCHASED ON S.O. 7864 9/27/93 <br />Backflow Prevention M.v Be Required <br />SEWER SERVICE <br />Permit No.: 29875 <br />Permit Type: NEW CONNECTION <br />Syste�e Development Fees: <br />Water <br />Sewer <br />Bond III Connect:icn Charge: <br />Trunk <br />Lateral <br />Remarks: <br />LID No.: <br />Water Permit Fee: <br />Sewer Permit Fee: <br />$452.00 <br />$761.00 <br />TOTAL: <br />$0.00 <br />$0.00 <br />TOTAL: <br />Inspected by /��Hvn Date ��' i - i <br />Grand Total <br />Permits expire if work is not commenced within 180 days or <br />ceases for more than 180 days. <br />$0.00 <br />$70.00 <br />$1,213.00 <br />$0.00 <br />$1283.00 <br />Public Works Copy <br />