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� <br /> r��ta 2 ;� �o <br /> CITYOFEVEREIT �' ; ;'r�STIN� <br /> UTILITIES <br /> P�RMIT <br /> �ate: 12/23/98 CMWo #: <br /> Service Addrese: 1225 41ST ST _Change Requeat <br /> Hilling Name: JELLISON GARY <br /> Billiny 4ddress: Po H0:' E241 <br /> City, State, Zip: LYNNWOOD wA 98036 <br /> Phone: 425-75G-�)615 <br /> Legal Description: Lot 0 Blk 0 Addn: <br /> rrontage: Ho. of U��its: 1 <br /> WATER SERVICE <br /> S.O. No. 9998 Application No. 3154i <br /> k'txed: Y Depoeit: <br /> Svc. Size: 3/4 Svc. Type: SFR Watcr Permit Fee: $650.00 <br /> Setter Inetallation Date By <br /> Meter No. Size Brand <br /> Mete: Inetallation Date $y <br /> Water On Off Locked Out_ By <br /> Remarke:� <br /> NEW SERVICE fIEQUIRED. $60 PAID 2/8/99 ADDNL 5590 COLLECTED <br /> TSG <br /> SEWER SERVICE <br /> ermi o. : <br /> Permit Type: NEW CONNECI'_T7N LID No. : <br /> Sewer Permit Fee: $70.00 <br /> Syetems Dfvelopment Fees: <br /> Wat=r $482.00 <br /> Sewer 5614.00 <br /> TOTAL: 51,296.00 <br /> Bond III Connection Charge: <br /> Trun;: $0.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarke: <br /> Inapected by�j/�j'�--� h l+�/J Date `�'�� � � / <br /> Grand Total: $2016.00 <br />� - -- <br /> a � �5 � � � <br /> � Public Works Copy <br /> FEB 09 1999 • <br /> CI'I'Y OF EVLR�TT <br /> Permit Sr,r��ices <br /> —- _ — -._ � <br /> ��'�-a��',�"' — --- ------ <br />