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0 <br />� <br />CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />Date: 02/09/96 CMWO /: <br />Ser.ice Addrees: 10330 4TH AVE W <br />Billing Name: HARCHENKO THEOOOAE <br />Billing Address: 3823 KROMER AVE <br />City, State, Zip: EVERETT WA 98201 <br />Phone: 252-9720 <br />��; , <br />it� POSTING �-` ° �=' <br />1 _Change Request <br />Legal Deecription: Lot 0 Blk 0 Addn: <br />Frontaye: No. of Units: <br />WATER SERVICS <br />S.O. No. 8798 Application No. 30341 <br />Fixed: Y Depoait: N <br />Svc. Size: 2" Svc. Type: DOM <br />Setter Inetallation Date By_ <br />Meter No. Size Brand <br />Meter Inetallation Date By_ <br />Water On Off Locked Out_ <br />Remarka:— — <br />TSG <br />By <br />SEWER SERVICE <br />erm o.: <br />Permit Type: LID No.: <br />Syeteme Development Feea: <br />Water <br />Sewer <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Aemarke: <br />/// I <br />" / _t� Date <br />Inapected �. <br />Water Permit Fee: j 51,200.00 <br />Sewer Permit Fee: <br />$0.00 <br />$0.00 <br />TOTAL: <br />$0.00 <br />50.00 <br />TOTAL: <br />S0.00 <br />$0.00 <br />Grand Total: � $1200.00 <br />Public Worke Copy <br />