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CITY G�� EVERETT <br />UTILITIES <br />PERMIT <br />Date: 01/10/96 CMWO #: <br />Service Addrees: 9432 21ST DR SE <br />Billing Neme: FRANCISCO GENE <br />Billing Addrees: 23428 19TH AVE SE �A <br />City, State, Zip: BOTHELL WA 98021 <br />Phone: 402-4346 <br />Leqal Description: Lot 2 Blk 0 Pddrt: SNoRTofLUnite:93 1 <br />Frontaqe: <br />fAPA i e �es� <br />- ; „3STING _--- <br />2 Change <br />WAT.ER SERVICE <br />S.O. No. 0 Application No. <br />Fixed: Deposit: <br />Svc. Size: Svc.. Type: <br />Setter Inetallation :)ate BY — <br />Meter No. Size Brand_ <br />Meter Inetallation Date BY <br />Water On Off_ Locked Out_ BY <br />Remarke:— <br />3/4" SERVICE PURCHASED 4/11/95 ON S.O. 8455, AP 29998 <br />0 <br />Water Permit Fee: I 50.00 <br />TSG <br />SEWER SERVICE <br />erm o.: <br />Pex�mit Type: NEW CONNECTZON LID No.: <br />Syeteme Development Feee: Water <br />Sewer <br />Bond III Connection ChargeTrunk <br />Lateral <br />Remarke: <br />Sewer Permit Fee: <br />$814.00 <br />TOTAL: <br />$3$0.00 <br />TOTAL: <br />Inspected,bv Date� � <br />` —f--- <br />Grand Total: <br />$70.00 <br />$Y,296.00 <br />$330.00 <br />$1696.00 <br />Public Worke Copy <br />