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1 <br /> � <br /> cm oF�nErr MAR 1 9 � <br /> UTILITIES �'aSTING <br /> PERMIT , <br /> Dat�s 11/08/96 CMWO /`: <br /> Service Addreees 10423 19TH AVE SE <br /> _Change Requast <br /> Hillinq Namas DOARAH LOREN <br /> Billing Ad3ree�s 2820 8 LINCOLN WAY <br /> City, Stato, Eip: LYNNWOpD WA 98036 <br /> Phone: 787-6700 <br /> Laqal Deacriptions Lot 5 Blk 0 Addn: BSP 3-96 <br /> Frontages No. of Unites 2 <br /> WATER SERVICE <br /> S.O. No. 9187 Application No. 30730 <br /> Fixed: Y Depoeit: N <br /> Svc. Size: 1" Svc. Type: DUP <br /> Water Permit Fee: $130.00 <br /> Setter Inetallation Date gy <br /> Meter No. Size Brand <br /> Meter Inetallation Date gY <br /> Water On Off Locked Out gy <br /> Remarke:— — -- <br /> TSG <br /> erm o. : <br /> SEWER SEAVICE <br /> Permit Type: NEW CONNECTION LID No. : <br /> Sye�ome Devaiopment E��ec:: SeWer Permit Fee: $70.00 <br /> water S701.00 <br /> Sewer $1,183.00 <br /> TOTAL: $1,884.00 <br /> Bond III Connection Charge: <br /> Trunk $330.00 <br /> Lateral $0.00 <br /> TOTAL: $330.00 <br /> Remarka: <br /> r <br /> / <br /> Inepected � Date � �J�_ <br /> �— <br /> Grand Total: $2414.00 <br /> � � � � �� <br /> '' , " 0819�16 <br /> I�(�� <br /> Public Worke Copy <br /> CITY OP c�FaET7 <br /> Buildin;; Divis�o'� <br />