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CITY OF EVERETT <br /> UTILITIES <br /> PERMIT <br /> Date: 06/16/99 CMWO f: <br /> Service Addreeas 10025 23RD DR SE _Chanqa Raque�t <br /> Billing Name: WLLLS SHAAON <br /> Billing 1lddraee: 10025 23RD DR SE <br /> City, State, Zip: BVERETT WA 98208 <br /> Phonae 425-316-8551 <br /> Loqal Deacriptions Lot 0 Hlk 0 Addns <br /> Frontages No. of Unitss 1 <br /> WATER SERVICE <br /> S.O. Noe 0 Application No. 0 <br /> Fixed: Depoeit: <br /> ^vc. Size: Svc. Type: Water Permit Fee: 50.00 <br /> Setter Inetallation Date By <br /> Meter No. Size Brand _, <br /> Heter Inetallation Date_ By <br /> Water On Off Locked Out_ By <br /> Remarks:— — <br /> TSG <br /> SEWER S�RVICS <br /> erm o. : — <br /> Permit Type: lfEW CONNECTION LID No. : 736 <br /> Sewer Permit Faes $70.00 <br /> Syeteme Levelupment Fees: Water 50.00 <br /> Sewer S0.0o <br /> TOTAL: $0.00 <br /> Bond III Connection ChargeTrunk 50.00 <br /> Lateral $0.00 <br /> TOTAL: 50.00 <br /> Aemarke: <br /> Inspected by eb���n7�u"f ""�� Date � "2"r 5� <br /> Grand Total: 570.00 <br /> � � C, �J � <br /> JUN 16 1999 • <br /> Public Work� Copy <br /> �;� i'.5'7.it�:TT <br /> 4S � �I L ^ <br /> i�(lIT�!� v�.'f!iii�3 u <br />