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CITY OF EVERETT TO POSTINf Nov 10 1P91 <br />UTILITIES <br />PERMIT <br />Date: 08/21/96 CMWO 0: <br />Service Address: 3215 RUCKER AVE <br />Billing Name: HEIYZEN/YONRE <br />Billing Address: 641 SHINE RD <br />City, State, Zip: PT LUDLOW WA 98365 <br />Phone: 437-0468 <br />Legal Description: Lot 8 Blk 769 Addn: <br />Frontage: <br />_Change Request <br />No. of Unite: 1 <br />WATER SERVICE <br />S.O. No. 0 Application No. 0 <br />Fixed: Deposit: <br />Svc. Size: Svc. Type: Water Permit Fee: <br />Setter Installation Date_ By <br />Meter No. Size Brand <br />Meter Installation Date By <br />Water On Off Locked Out '3y <br />Remarks:— <br />TSG <br />SEWER SERVICE <br />erm o.: <br />Permit Type: CAP OFF LID No.: <br />Sewer Permit Fee: <br />Systems Development Fees: <br />Water $0.00 <br />Sewer $0.00 <br />TOTAL: <br />Bond III Connection Charge: <br />Trunk $0.00 <br />Lateral $0.00 <br />TOTAL: <br />Remarks: <br />Inspected by A,,f'/ Date <br />Grand Total: <br />$0.00 <br />$10.00 <br />$0.00 <br />$0.00 <br />$10.00 <br />Public Works Copy <br />