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� <br /> � - <br /> CITY OF EVERETT <br /> UTILITIES <br /> PERNIIT <br /> Date: O1/12/98 CMWO ,#� _ <br /> Service Address: 1201 44TH ST SE _Change Requeet <br /> Billing Name: LACHAPELLE RICHARD <br /> Billing Addrese: 6708 187TH AVE SE <br /> City, State, 2ip: SNOHOMISH WA 98290 <br /> Phone: 360 568 2203 <br /> Legal Deacription: Lot 0 Blk 0 Addn: <br /> Frontage: No. of Units: <br /> WATER SERVICE <br /> S.O. No. 0 Application No. 0 <br /> Fixed: Depoeit: <br /> Svc. Size: Svc. Type: Water Permit Fee: 50.00 <br /> Setter Installation Date By <br /> Meter No. Size Brand <br /> Meter Installation Date By <br /> Water On Off Locked Out By <br /> Remarks:— — — <br /> TSG <br /> SEWER SERVICE <br /> �ermi o. : <br /> Permit Type: CAP OFF LID No. : <br /> Sewer Permit Fee: $10.00 <br /> Syoteme Development Fees: <br /> Water 50.00 <br /> Sewer $0.00 <br /> TOTAL: $0.00 <br /> Bond III Connection Charge: <br /> Trunk 50.00 <br /> Lateral 50.00 <br /> TOTAL: $0.00 <br /> Remarks: / ,e <br /> � � _,, ,�, - ,. µ� � `��G,f <br /> , „� � <br /> � � ��P �- �i � w <br /> 2 �' ,.., <br /> Inepected by � � � D�te_ � <br /> ! <br /> - �-. �-• r.� c; :� G and Total: $10.00 <br /> c• �� i_ F .., rC <br /> t.i r_n -c <br /> ��t c w c� ,n x> <br /> �, r"J C .F� O �O _. <br /> I� <br /> ': <br /> �I; Address Copy <br />