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� <br />CITV OF EVERETT <br />UTILITIES <br />P�RMIT <br />nste, oa/2z/9� cMwo r= <br />8ervice Addreee: 2208 116TH ST SE <br />Billing Names BRECKINRIDGE MICHAEL <br />Billing Addreee: 2208 116TH ST SE <br />City, State, 21ps EVER�,T�1-3998 WA 98204 <br />Phone� <br />Leqsl Deecription� Frontage�Blk 0 Addn: <br />� � �1 4 1997 <br />TO POSTING Ar�� <br />Change Aeque <br />No. of Unite: <br />WATER SERVICE <br />S.O. No. 0 Applicatlon No. <br />Fixadt Depoeits <br />&ve. Size� Svc. Typei <br />Settor Inetellation Date BY_ <br />Heter No. Size Brand <br />M9tar Inetellation Date BY_ <br />Weter On Off_ Locked Out_ <br />Remerke�— <br />TSO <br />ey <br />SEWER SEA'lICE __ <br />e m o.: <br />Permit Types NEW CONNECTION LID No.: <br />eysteme Development Faees Water <br />Sewer <br />Bond III Connection ChargeTrunk <br />Laterel <br />0 <br />Water Permit Fee�j S0.00 <br />Sewer Permit Feei <br />$0.00 <br />50.00 <br />1OTAL: <br />50.00 <br />$O.OD <br />TOTAL: <br />Remnrke� ( � <br />AGREEMENTEWII'H6MYFONNTOLLEFSONI (5330) TO BE PAID BY INVOICEPER <br />Inepected by � f`�" Date S-1lr-/�% <br />570.00 <br />$0.00 <br />50.00 <br />crand Total:� 570.00 <br />Publlc Worke Copy <br />