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1� <br /> ''� ��STING �-21-p �a� I`� <br /> CIT1'OF EVERETT <br /> UTILITIES <br /> PERMIT � � <br /> Date: 09/09/94 CMWO �`: <br /> Service Addrrse: 9901 25T8 DR SE <br /> Billing Name: RASMUSSEN ETHEL <br /> Hilling Addrees: 2525 100TH ST SE <br /> City, State, Zip: EVERETT WA 98208 <br /> Phone: 337-1643 <br /> Legal Deacription: Lot 2 Blk 0 Addn: SHORT PLAT �44-91 <br /> Frontage: No. of Unite: 1 <br /> WATER SERVICE <br /> S.O. No. 8196 Application No. 29739 <br /> Fixed: Y Depoait: <br /> Svc. Size: 3/4 Svc. Typee icES Water Permit Fee: $105.00 <br /> Setter Installation Date ey <br /> Meter No.�59�l SizeJ'` Brand <br /> Meter Inetallation Date� By [.} !/� � <br /> Remarks: � , /� <br /> / V <br /> Backflow Prevention May Be Requis'ed <br /> SEWER SERVICE <br /> Permit No. : 29854 <br /> Permit Types NYW CONNEC7'ION LID No. : <br /> Sewer Permit Fee: $70.00 <br /> Syetems Development Feea: <br /> Water $362.00 <br /> Sewer 5610.00 <br /> TOTAL: $972.00 <br /> Bond ZII Connection ChargeTrunk $0.00 <br /> Late�al $0.00 <br /> TOTAL: 50.00 <br /> Remarka: <br /> ;nepected by Date <br /> Grand Total $1147.00 <br /> Utilities Svca Copy <br />