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�Crr�/� CITY OF EVERETT '�1'CTI N C _Nov n 5 iss� <br /> UTILITIES <br /> PERMIT <br /> Date: 12/15/94 CHWO �f: II <br /> Service Addreee: 1121 TTEREVE DR (A,B,C,D) _Change RequeeS <br /> Billing Name: DORRAH LOREN <br /> Billing Addreee: PO BOX 5036 <br /> City, State, Zip: LYNNWOOD WA 98036 <br /> Phone: 778-0555 <br /> Leqal Deecription: Lot 10 Blk 0 Addn: HEVERLY NILLS DIV I <br /> Frontage: No, of Unite: 4 <br /> WATER SERVICE <br /> S.O. No. 8288 Application No. 29831 <br /> Fixed: Y Depoeit: <br /> Svc. Size: 2 Svc. Type: DOM Watet Permit Fee: $1,200.00 <br /> Settec Inatallation Date 8y <br /> Meter No. Size Brand <br /> Meter Inetallation Date BY I <br /> Water On Off Locked Out_ By I <br /> Remarke:— — <br /> TSG � <br /> -� : <br /> � SEWER SERVICE <br /> ermi o. : <br /> Permit Type: NEW CONNECTION LID No. : <br /> Sewer Permit Fee: 5�0.00 <br /> Systeme Development Feee: <br /> Water $624.00 <br /> Sewer 51,053.00 <br /> TOTAL: $1�677.00 <br /> Bond III Connection ChargeTrunk 50.00 <br /> Lateral 50.00 <br /> TOTAL: $0.00 <br /> Remarke: <br /> CREDIT GIVEN FOR SYST. DEV. FEE FOR SMALL HOUSE PREVIODSLY ON <br /> LOT <br /> / / � <br /> Inepected by Date ` �S <br /> Grand Total: 5z947.00 <br /> a � � �uJ �r� <br /> �C�' 16 1994 � � � Public Worka Copy <br /> ............................. .... <br /> cirv nr ���E�ET7 <br /> Duildinp Diy�s�on <br />