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�� <br />� <br />CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />Date: 09/07/94 CMWO f: <br />Service Addreae: 10�6 56T8 ST SB <br />Billing Name: BLANK LYLE E <br />Billing Addresa: PO BOX 2266 <br />City, 6tate, Zip: EVERETT <br />Phone: 355-4725 <br />Legal Description: Lot 2 Blk <br />Frontage: <br />WA 98203 <br />T�? T��T��� -Z-3-� <br />0 Addt:: SHORT PLAT �`21-94 <br />No. of Units: <br />WP.TER SERVICE <br />S.O. No. 8194 hpplication No. 29737 <br />Fixed: Y Deposit: <br />Svc. Size: 1 Svc. Type: RES Water Permit Fee: <br />Setter Znetallation Date By_ <br />�� <br />Meter No. Ov%0 Size � erand�%�1�.U.x1 , _ <br />— G <br />Meter Inetallation Date �"'%'-/S By Q�5 <br />Remarke: G _ / <br />/\/ <br />Backflow Prevention May 8e Required <br />SEWIRR SE�tVICE <br />Permit No.: 0 <br />Permit Type: <br />Sys•:eme Development F'eee: <br />Water <br />Sewer <br />eond III connection Charge: <br />Trunk <br />Lateral <br />Remarks: <br />Inapected by <br />LID No.: <br />Date <br />Sewer Permit Fee: <br />50.00 <br />$0.00 <br />TOTAL: <br />$0.00 <br />$0.00 <br />TOTAL: <br />Grand Total <br />$750.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$750.00 <br />Utilities Svice Copy <br />