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CINOFEVEFETf TU ��aSTING o 'ZS'�Y$ <br /> UTILITIES <br /> PERMIT <br /> Date: 03;23/95 CMWO /: <br /> Service Aadrese: 11308 3R0 AVE SE _Change Requestl <br /> Billinq Name: LLOYD DALE/AZURE CONST <br /> eilling Address: 13208 136T1i NE I <br /> City, State, 2ip: KIRKLAND WA 98034 <br /> Phone: 821-4756 <br /> Legal Deecription: Lot � Blk 0 Addn: 6-92 <br /> Frontaqe: No. of Unite: 1 <br /> I <br /> WATER SERVICE 1_ <br /> S.O. No. 8427 Application No. 29970 � <br /> Fix�d: Y Depoeit: N <br /> Svc. Size: 3/4 Svc. Type: SFR Water Permit Fee: $650.00 <br /> Setter Inetallation Date Bv <br /> Meter No. Size Brand � <br /> Meter Installation Date By_ <br /> Water On off Locked Out_ By <br /> Remarke:— — <br /> TSG <br /> SEWER SERVICE <br /> ermi o. : <br /> Permit Type: NEW CONNI:CTION LID No. : <br /> Sewer Permit Fees 570.00 <br /> Syeteme Development Feea: <br /> Water $482.00 <br /> Sewer S814.00 <br /> TOTAL: 51,296.00 <br /> Bond III Connection Charge: <br /> Trunk $330.00 <br /> Lateral $0.00 <br /> TOTAL: 5330.00 <br /> Remarka: <br /> Inspected by � / �� Date - >-2 `•� > <br /> ca���t?f� Grand Total: 52346.00 <br /> Public Worke copy <br />