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r <br /> / CITYOFEVERETT TO POSTING � 2 � P°Q0 <br /> UTILITIES <br /> PERMIT <br /> Date: 10/O1/913 CMWO #: <br /> Service Addrees: 12406 19TH AVE SE _Change Requeat �CE'V�D <br /> Bi�ling Name: VRIf'LING BUD <br /> Billing Addrena: '1128 24TH DR SE Q r Q q Q� <br /> City, State, Zip: EVERETT WA ?8208 �• I.,j� <br /> Phone: 425-337-2514 U LITY SFRVICES <br /> Legal Deecription: Lot 0 Hlk 0 P.ddn: <br /> Frortage: No. of Units: <br /> __ WATER SERVICE <br /> S.O. No. 9917 Application No. 31460 <br /> Fixed: Y Deposit: <br /> Svc. Size: 3/4 Svc. Type:�O�P$�I� Water Permit Fee: $130.00 <br /> Setter Installation Date By <br /> Meter No.'7 ���� Size���_ Brand /U�a(l�GG[�IL2� <br /> t' <br /> Meter �netallation nate/d i -yC sy r�1� <br /> Water On `� Of' Locked Out By <br /> Aemarke:— '— — <br /> TSG �I�� 'N � <br /> l� <br /> SEWER SERVICE <br /> erm o. : <br /> Permit Type: LID No. : <br /> Sewer Permit Fee: $0.00 <br /> Syeteme Development Fees: <br /> water S0.00 <br /> sewer 50.00 <br /> TOTAL: 50.00 <br /> Bond III Ccnnection Charge: <br /> Trunk 50.00 <br /> Lateral 50.00 <br /> TOTAL: $0.00 <br /> Aemarke: <br /> Inepected by Date <br /> Grand Total� $130.00 <br /> Utilitiea Copy <br />