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CITY OF EVERETT OR 12 <br />W <br />UTILITIES TO POSTING <br />PERMIT <br />Dates 02/03/97 CMWO /: <br />Service Address: 10431 19TH AVE BE (AB) <br />Billing Names DORM LOREN <br />Billing Address: 2820 8 LINCOLN WAY <br />City, State, Zip: LYNNWUOD WA 98036 <br />Phones 787-6700 <br />Legal. Description: Lot 1 BIk 0 Addns BSP 3-96 <br />Frontage: No. of Unites 2 <br />WATER SERVICE <br />B.O. No. 9259 Application No. 30802 <br />Fixed: Y Deposit: N <br />Svc. Size: 1" Svc. Type: DUP <br />Setter Installation Date By_ <br />Meter No. Size Brand <br />Meter Installation Date By_ <br />Water On Off Locked Out — <br />Remarks: <br />— <br />TSG <br />By <br />SEWER SERVICE <br />r .s <br />Permit Types NEW CONNECTION LID No.: <br />change <br />Eater Permit Fee:j $130.00 <br />Sewer Permit Fees <br />Systems Development Fees: Water $701.00 <br />Sewer $1,183.00 <br />TOTAL: <br />Bond III Connection ChargeTrunk $330.00 <br />Lateral $0.00 <br />TOTALS <br />Remarks: <br />Inspected by ate <br />[D:') <br />3- / 7 - 9� <br />U11Grand Total: <br />0 A 1997 <br />$70.00 <br />$1,884.00 <br />$330.00 <br />$2414.00 <br />............ I .......1.1...I......... <br />CITV OF EVERETT Public Works Copy <br />Ous .no Division <br />