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`eYY 0 CITY OF EVERETT To POS I I\U ai <br />UTILITIES <br />PERMIT /as13 <br />Date: 10/28/94 Z CMWO 0: <br />Service Address: 2ee4'WETMORE AVE II <br />_change Requeey <br />Name: JDH <br />Billingg Address: 27731PWETMOREEAVE <br />City, State, Zip: EVERETT WA 98201 <br />Phone: 388-8400 <br />Legal Description: Lot 0 Blk 0 Addn: <br />Frontage: No. of Units: <br />WATER SERVICE _ <br />S.O. No. 0 Application No <br />Fixed: Deposit: <br />Svc. Size: Svc. Type: <br />Setter Installation Date By <br />Meter No. _ Size Brand_ <br />Meter Installation Date By <br />Water On Off Locked Out gy <br />Remarks: -' _ <br />TSG <br />SEWER SERVICE <br />ermi o.: <br />Permit Type: ALTERATION LID No.: <br />Systems Development Fees: <br />Water $0.00 <br />Sewer $0.00 <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Remarks: <br />Inspected by w. ( /(fZ / Date <br />$0.00 <br />$0.00 <br />0 <br />Water Permit Fee: <br />$0.00 <br />Sewer Permit Fee: $30.00 <br />TOTAL: $0.00 <br />TOTAL: $0.00 <br />Grand Total: $30.00 <br />Inspector Copy <br />