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.�- - <br /> CIiY pF EVERETT <br /> UTIUTIES ' ''��TING � �1 � <br /> PERMIT <br /> Date: 11/07/96 CMWO #: <br /> Servico Addreoe: 10425 19TH AVE SE Change Requee <br /> Billinq Name: DORRAH LOREN <br /> Billing Addreee: 2820 B LINCOLN WAY <br /> City, State, Zip: LYNNWOOD WA 98036 <br /> Phonat 787-6700 <br /> Lagal Daecription: Lot 4 Blk 0 Addn: gSP 3-96 <br /> Frontage: No. of Unite: 2 <br /> WATER SERVICE <br /> S.O. No. 9185 Application No. 30728 <br /> Fixad: Y Depoeits N <br /> Svc. Size: 1" Svc. Type: DUP Water Permit Fee: $130.00 <br /> Setter Inetallation nate_ gy <br /> Meter No. Size Brand <br /> Metar Inetallation Date_ gy <br /> Watar On Off L�ekad Out gy <br /> Remarke:'-- — — <br /> TSG <br /> SEWER SERVICE <br /> . t <br /> Parmit Typa�t NEW CONNECTION LID No. : <br /> Syetame Development Feee: Sewer Permit FeAs $70.00 <br /> Water $701.00 <br /> Sewer $1,183.00 <br /> TOTAL: $1,884.00 <br /> Sond III Connection Charqe: <br /> Trunk $330.00 <br /> Lateral $0.00 <br /> TOTAL: $330.00 <br /> Remarke: <br /> Inepected b�� _ Date v � <br /> � � � n r' � � rand Totals 524Za.00 <br /> U <br /> N[)b' 0 8 1996 <br /> .................................... Public Worke CoPY <br /> CITV OF EVERETT <br /> Buildin� Division <br />