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� <br />� <br />cm oF Eveperr <br />UTILITIES <br />PERMIT <br />Date: 06/17/97 CMWO �': <br />Service 1lddraes: 430 51ST ST Sw <br />Billinq Nam�s TRl STAR HOME3 <br />Billinq Addrs��: PO BOX 6142PL NE <br />City, Stnta, Zip: LYNNWOOD WA 98036 <br />TO POSTING ��_ <br />_Change Roqueet <br />Phona: 425 775-2458 <br />Legal Deecription: Lot 4 Blk 0 Addn SP 1202-6-95 <br />Frontages No. of Unitss 1 <br />WATER SrRVICE <br />S.O. No. 4411 Application No. 30954 <br />Fixed: Y Depoeit: N <br />Svc. Size: 3/4 Svc. Type: SFR Water Permit Fee: <br />Setter Inetallation Date By <br />Meter No. Size Brand <br />Meter Inetallation Date By <br />Water O Off Locked Out 8y <br />SHORT PLIT REQUIREHENTS . <br />TSG <br />SEWER SERVICB <br />erml o.: <br />Permit Types LID No.: <br />Syetems Development Feee: <br />Water <br />Sewer <br />Sewer Permit Fee: <br />S0.00 <br />50.00 <br />TOTAL: <br />Hond III Connection ChargeTrunk 50.00 <br />Lateral 50.00 <br />Remarke: <br />. � � � D � � �_ � <br />L, ti � � I <br />—: IT� m � �-' <br />T� T A �� ��� <br />Inepected by � Date n <br />h <br />j' _t <br />;-� -� - i a. cn <br />.;: c � r..n r_� cn <br />.c, o c: •r, o •.o �c, ,� �i <br />rn .(� • -P r_n <br />r c.Ho;=���t.�, <br />. �� �_: o o.o o� ;�. <br />4J <br />;i <br />�j <br />Y <br />,•y <br />ra <br />r� <br />�� <br />TOTAL: <br />�/ • <br />���qo n�i�.r�Lo� <br />..Q�CI S�l n.S s,Cttl/c..Q.� <br />�a ��.�-�*o� <br />50.00 <br />$0.00 <br />$0.00 <br />Grand Total: � 5650.00 <br />Addreee Copy <br />