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� i i�� 7v'.. <br /> /�6 � <br />' CI?Y OF EVERETT �i`�� <br />' TU POSTI�J�G`�'�'yS uTIi.�TIEs �I S <br />� �ERti�IT <br /> Date: 09/09/94 CMWO $: ����y��/'Y'��- " ��`� <br /> Service Address: 9901 25TH DR SE <br /> Billing Name: RASMUSSEN ETHEL <br /> Billing Address: 2525 100TH ST SE <br /> City, State, 2ip: EVERETT WA 98208 <br /> Phone: 337-1643 <br /> Lega1 Deecription: Lot 2 Blk 0 Addn: SNoR ofLUnite4-911 <br /> Frontaqe: <br /> WATER SERVICE <br /> S.O. No. 8196 Application No. 29739 <br /> Fixed: Y Deposit: <br /> Svc. Size: 3/4 Svc. Type: RES Wa r Permit Fee: $105.00 <br /> Setter Inetallation Date /�� / ._BY <br /> TTT- <br /> Meter No.�-��f Size Brand ' t . <br /> T ,� <br /> Meter Inetallation Date BY � �� �� � 9 ? <br /> Remarks: <br /> Backflow Prevention May Be Required <br /> SEWER SERVICE <br /> P�rmit No. : 29854 <br /> Permit Type: NEW CONNECTION LID No. : <br /> Sewer Permit Fee: $70.00 <br /> Systema Development Fees: <br /> Water 5362.00 <br /> Sewer 5610.00 g72,00 <br /> TOTAL: 5 <br /> Bond III Connection ChargeTrunk $0.00 <br /> Lateral $0.00 0.00 <br /> TOTAL: S <br /> Remarks: <br /> Inepected by Date <br /> Grand Total $1147.00 <br /> Utilitiee Copy � <br />