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, • � <br /> TO f'Q������ �� z � +es� <br /> cm oF EveAerr ---._ <br /> UTILITIES <br /> PERMIT <br /> Data: 11/07/5i CMWO #: <br /> Service Addree�s 10427 19TH AVE SE _Chanqe Requae <br /> Billinq Nemes DORRAH LOREN <br /> Billinq Addreses 2+320 B LSNCOLN WAY <br /> City, Stata, Zip: L'YNNWOOD WA 98036 <br /> Phona: 787-6700 <br /> Legal Deecription: Lot 3 Blk 0 Addn: BSP 3-96 <br /> Frontage: No, of Unite: 2 <br /> WATER SER.VICE _ <br /> S.O. No. 9183 Application No. 30726 <br /> Fixeds Y Depoeit: N <br /> Svc. Size: 1" Svc. Type: DUP Water Permit Fee: $130.00 <br /> Setter Znetallntion Date By <br /> Meter No. Size Brand <br /> Meter Inetallation Date By <br /> Water On Off Locked out By <br /> Remarke:— — — <br /> TSG <br /> SEWER SERVICE <br /> a. s <br /> Parmit Types NEW CONNECTION LID No. : <br /> Sewer Permit Fee: $70.00 <br /> Syeteme Development Fees: <br /> Water S701.00 <br /> Sewer 51,183.00 <br /> TO'!'AL: S1,864.00 <br /> Bond III Connection Charge: <br /> Trunk S330.00 <br /> Lateral 50.00 <br /> TOTAL: $330.00 <br /> Remarke: <br /> Inapected b�/ " Date � � r7 6 <br /> Grand Totala $2414.00 <br /> � � � � � n <br /> � <br /> l.� <br /> ���n�' 0 8 1996 <br /> Public Works Copy <br /> ......:............................. <br /> CITY OF EVERET7 <br /> 13uildin;,� Division <br />