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� � L <br /> . . �s� _ ��� -�-a <br /> GTY OF EVERETT �s Iy� � �� K� <br /> UTILITI�S n A <br /> PERMIT (✓/ � <br /> Dates OB/29/94 CMWO /: 7 YC ��1 �l� b r - �� <br />� Service Addreee: 125 112TH ST 5E I <br />� Billing Name: BLANK LYLE E �a,� � � I <br /> Billing Addreees PO BOX 2266 TO �05TIM� . __ <br />' Clty, State, Zipo EVEAETT WA 98203 I <br /> Phonae 355-4725 - ��s •7-�1. ��K� <br /> Legal Deecrlptions FrontageiBlk 0 Addns SNo lof9Unitei 1 II <br /> 4iFTER SERVICE � <br /> 8.0. No. 8179 Application 'Jo• 29722 <br /> Fizeds Y Depoeit� �� W�r� Fee� S650.00 <br /> 6vc. 81set 3/4 Svc. Type: RES <br /> Satter Inetellat on Dete� �/�) 'C��Y � � <br /> I Meter No. <br /> ^� �G.ZSize� Brend � "�"'�'�� <br /> Meter Inetallation Dete�L ' /h '�1�/ BY �� —' �� <br /> Remarkss <br /> 1 <br /> 8eckflow Pravention May Be Required <br />� <br />� SEWER SERVICE <br /> Permil No.s 29835 <br /> Permlt Types NEW CONNECTION LID No. : 729 <br /> Sewer Permit Feei 570.00 <br /> Syeteme Development Feees Water 5362.00 <br /> Sewer $610•TOTALt $972.00 <br /> Bond III Connection ChargeTrunk 50.00 <br /> Latnral SO•TOTALs 50.00 <br /> Aemerkes <br /> i <br /> Inepected by Date I <br />� Grand Totel 51692.00 <br /> 1 ,.�_ I.f-� <br /> S- � 51�v utilitiefl copy <br /> � <br /> l.n✓r <br />