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� � ���T�N� Nov_ <br /> CITY OF EVERETT <br /> UTILITIES <br /> PERMIT � �c�� � <br /> Date: 12/15/94 CMWO �: <br /> Service Addreee: 1121 TTERfiVE DR (I�,g,C,D) <br /> Chanye Reqvee <br /> Billing Name: DORRAH LOAEN I <br /> Billing Addreee: PO BOX 503G <br /> City, State, Zip: LYNNWOpD WA 98036 <br /> Phone: 778-0555 <br /> Legal Deecription: Lot 10 Blk 0 Addn: BEVERLY HILLS DZV I I <br /> — Frontaqe: No. of Unite: 4 I <br /> WATER SERVICE <br /> S.O. No. 8288 Applicetion No. 29831 <br /> Fixed: Y Depoeit: <br /> Svc. Sizes 2 Svc. Type; DOM Water Permit Fee: 51,200.00 <br /> Setter Inatallation Date - Z�- S gy <br /> Meter No. y��5 09 Size� �/ grand /lGG!/J�i-�av I <br /> Meter Inetallation Date �i <br /> Water On Off X Locked Out By� I <br /> Remarke:'-- — — BY_ <br /> !=o u.vi.cL o N 3/�l c�5 <br /> �r TSG �� <br /> f SEWE'.2 SERVICE _ I <br /> erm „ <br /> Permit Types NEW CONNECTION LID No. : <br /> Syeteme Development Fees: Sewer Permit Fee: $70.00 <br /> Water $624.00 <br /> Sewer $1,053.00 <br /> TOTAL: $1,677.00 <br /> Bond III Connectton Charge: <br /> Trunk 50.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarke: <br /> CREDIT GIVEN FOR SYST. DEV. FEE FOR SMALL NOUSE PREVIOUSLY ON <br /> LOT <br /> Inepeated by Date <br /> Grand Total: S2947.00 <br /> � � � � 1 <br /> DL•C j g � �l Utilities s��e Copy <br /> 994 <br /> . <br /> .... ........... <br /> CIl'Y pF '�................ <br /> Lui!di^J D V����7 <br />