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i s �sQ <br /> ciTvoFeveRerr TO POSTIN� <br /> UTILITIES <br /> PERMIT <br /> Date: 11/06/97 CMWO #`: <br /> Setvice Address: 10510 7TH AVE SE _Change Requeat <br /> Billinq Names LAMGlIREUX GENE <br /> Billing Addreen: 741J 204TH ST SW <br /> City, State, ZJ.p: LYNNWOOD WA 98036 <br /> Phone: 919-2828 <br /> Legal Deecription: Lot 4 Blk 0 Addn: SHORT P�AT 12-96 <br /> Frontage: No. of Unita: 1 <br /> WATER SERVICE <br /> S.O. No. 9564 Application No. 31107 <br /> Fixed: Y Deposit: <br /> Svc. Size: 3/4 Svc. Type: SFR Water Permit Fee: $130.00 <br /> Setter Inetallation Date By <br /> Meter No.��j� Size�S� Brand��. <br /> Meter installation Date 2-/g-�� By,�� <br /> Water On � Off Locked Out By <br /> Remarke:— — — �— <br /> TSG <br /> SEWER SERVICE <br /> ermi o. : i — <br /> Permit Type: NEW CONNECTION LID Nn. : <br /> Sewer Permit Fee: 570.00 <br /> Systeme Development Feea: <br /> Water $482.00 <br /> Sewer 5814.00 <br /> TOTHL: $1,296.00 <br /> Bond III Connection Charge�: <br /> Trunk $330.00 <br /> Lateral $0.00 <br /> TOTAL: 5330.00 <br /> Remarks: <br /> Inspected by Date <br /> crand Total: $1826.00 <br /> � <br /> � �-� � :; � ; ;-�, i� D <br /> �i ,� ; <br /> ��.� - � i�98 ' vtilitiea Svice Copy <br /> ri-,'}- , . �'LR�T� <br /> r ,:ervices <br />