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CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />Date: 06/26/95 CMWO �: <br />Service Addreae: 2211 19TH ST <br />Billing Name: LILLEY DARWIN <br />Billinq Addreee: 2211 19TH ST <br />City, State, 2ip: EVERETT WA 98201 <br />Phone: 252-4315 <br />Legal Deecription: Lot 0 Blk 0 Addn: <br />Frontage: No. of Unite: <br />f � C'f�STIIJG �-� -`�� <br />_Change <br />WATER SERVICE <br />S.O. No. 0 Application No. <br />Fixed: Depoeit: <br />Svc. Size: Svc. Type: <br />Setter :netallation Date gy <br />Meter No. Size Brand <br />Meter Inetallation Date gy <br />Water on Off Locked Out By_ <br />Remarke:— — — <br />TSG <br />SEWER SERVICE <br />ermi o.: <br />Permit Type: CAP OFF LID No.: <br />Syeteme Development Fees: <br />Water <br />Sewer <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Rematks: <br />�] <br />Water Permit Fee: <br />Sewer Permit Fee: <br />S0.00 <br />$0.00 <br />TOTAL: <br />$0.00 <br />$0.00 <br />TOTAL: <br />�C� �j G(� lP G(I�c�/�7�' <br />Inepected by /P� " Date�P`" `'OvJ � <br />$0.00 <br />$10.00 <br />$0.00 <br />$0.00 <br />�// ��i— Grand Total: $10.00 <br />i <br />C.J <br />Public Worke Copy <br />