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� <br />� <br />cm oF ��rr <br />UTILITIES <br />PERMIT <br />NOV 1 � 1997 <br />TO PO��?!°'S�.__--- <br />Dsta: 04/08/97 CHWp �; <br />S�rvica Addzeees 4011 RUCKER AVE _Change <br />Billinq NMwt LUPIEN PROPERTY <br />Billiny 1►ddr���: 3930 HOYT AVE <br />City, Stat�, Zip: EVSRETT WA 98201 <br />Phono: 259-2020 <br />b�qal Dsacription: Lot 0 elk 0 Addn: <br />Frontage: No, of Unita: 1 <br />WATfiR SERVICE <br />8.0. No. 0 Application No. <br />Fix�ds Depoeits <br />Svc. Sia�: Svc. Type: <br />Satter inetallation Date 8y_ <br />M�t�r No. Size Bra <br />N�t�r Inetallation Date By <br />Wat�r On Off Locked Out <br />Runark�:— — — <br />TSG <br />Bv <br />SEWER SERVICE <br />o.s - <br />Parmit Typet CAp OFF LID No.: <br />Syet�m� Davelopnent Feee: <br />water $0.00 <br />3eaer 50.00 <br />Bcnd III Connectlon Charge: <br />Trunk <br />Lateral <br />Remarka: <br />In�poctad by /S�i+'� p; <br />� � <br />� <br />50.00 <br />$0.00 <br />0 <br />Water Permit Fee: <br />Sewer Permit Feae <br />TOTAL: <br />TOTAL: <br />� <br />, ,�,���� <br />�=,1�'�-/J� 7 <br />, ` , Q$1J`\1 cYand Total: <br />4` ` ..• •`J(,P��� <br />.•••G\�� ;�(, ��� � <br />g�. <br />$0.00 <br />$10.00 <br />$0.00 <br />$0.00 <br />$10.00 <br />Public Worke Copy <br />