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� <br /> CITY OF EVERETT `j� p0 STI N G "01' � �� � <br /> UTILITIES __ <br /> PERMIT <br /> Date: 00/27/96 CMWO #: _ <br /> Service Address: 2732 36TH ST _Change Requeat <br /> Billing Name: CITY OF EVERETT <br /> Billing Addrees: 3002 WETtdORE AVE <br /> City, State, Zip: EVERETT WA 98201 <br /> Fhone: 2�9-8848 <br /> Legal Description: Lot 0 Blk 0 Addn: <br /> Frontage: No. of Unite: 1 <br /> WATER SERVICE <br /> S.O. No. 9077 Application No. 30620 <br /> Fixed: Y Depoeit: <br /> Svc. Size: 2 Svc. Type: CA Water Permit Fee: $1,200.00 <br /> Setter Inetallation Date By <br /> Meter No. Size Brand <br /> Meter Installation Date By <br /> Water On Off Locked Out_ By <br /> Remarke:— — <br /> TSG _ <br /> SEWER SERVICE <br /> ermi o. : <br /> Permit Type: NEW CONNECTION LID No. : <br /> Sewer Permit Fee: $70.00 <br /> Syeteme Development Fees: <br /> Water 50.00 <br /> Sewer 50.00 <br /> TOTAL: 50.00 <br /> Bond III Connection ChargeTrunk 50.00 <br /> Lateral 50•00 <br /> TOTAL: $0.J0 <br /> Remarks: <br /> i <br /> Inspected by ✓G�l�-� Date �� — � I <br /> ��j�)\`� •Grand Total: $1270.00 <br /> �.� �a9h <br /> � ` ,.. <br /> f ��� �•'''� �� <br /> C�t�� �� <br /> E� �o <br /> ,,.•J UF �N�`' Public Works Copy <br /> ..,V�Q J`�d�0� <br /> � <br /> J <br />