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�� <br /> UTILITIES �R ��STIIVG MAR 1 9 1999 <br /> PERMi'T <br /> Date: 02/06/97 CMWO $: <br /> Service Addruee: 2415 40TH ST _Change Requee <br /> Billing Name: HENDERSON KIM <br /> Billing Addrees: 915 61ST AVE SE <br /> City, State, Zip: EVERETT WA 98205 <br /> Phone: 252-7226 <br /> Legal Ceecription: Lot 0 Blk 0 Addn: <br /> Frontage: No. of Unite: 1 <br /> WATER SERVZCE <br /> S.O. No. 9272 Application No. 30815 <br /> Fixed: Y Depoeit: <br /> Svc. Size: 3/4 Svc. Type: CA W:.cer Permit Fee: _�}�g5.00 <br /> Setter Inetallation Date _gy /; <br /> Meter No. Size Brand �v � <br /> Meter Inetallation Uate gy <br /> Water On Off Locked Out gy <br /> Remarke:—' — — <br /> TSG C�G`L��li ��`�^"'�'�`m� <br /> __ SS�S� 2//D�9 i /'c � iZ1�3,3Z <br /> SBWER SERVICE <br /> ermi o. : <br /> Permit Type: NEW CONNECT:UN LID No. : <br /> Syeteme Development Feea: Sewer Permit Fee: $70.00 <br /> Water $409.58 <br /> Sewer $691.42 <br /> TOTAL: $1,101.00 <br /> Bond III Connection Charge: <br /> Trunk $0.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarke: <br /> � <br /> Inepected by �t5- �=� _,� _ . Date � —/�' %7 <br /> Grand Total• $1276.00 <br /> Public Worke Copy <br />