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CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />Dates 02/03/97 CMWO /: 710 J 1I I <br />Service Address: 10431 19TH AVE SE (AB) <br />Billing Names DORRAH LOREN <br />Billing Address: 2820 8 LINCOLN WAY <br />City, State, Zip: LYNNWOOD WA 98036 <br />Phone: 787-6700 <br />!'���!ill G HPR 22 13I <br />Change <br />Legal Description: Lot 1 Blk 0 Addn: BSP 3-96 <br />Frontage: No. of Unite: 2 <br />WATER SERVICE <br />S.O. No. 9259 Application No. <br />Fixed: Y Deposit: N <br />Svc. Size: 1" Svc. Type: DUP %q Water Permit Fee: $750.00 <br />Setter Installation Da/nt�e�-,Zc <br />Meter No. / 7J� 2 %) `S lze Brand <br />Meter -Installation Date l ? ell By 2{� <br />i <br />�Water On Gff '^- Locked Out By <br />Remark�13 <br />DITTA/II NAL $620 PAID 1'133 //97 RECEIPT 1126158 <br />SEWER SERVICE <br />erm NO.: <br />Permit Type: NEW CONNECTION LID No.: <br />Systems Developoent Fees: <br />Water <br />Sewer <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Remarks: <br />Inspected by <br />$701.00 <br />$1,183.00 <br />$330.00 <br />$0.00 <br />Date <br />30802 <br />Sewer Permit Fee: $70.00 <br />TOTAL: $1,884.00 <br />TOTAL: $330.00 <br />Grand Total:1 $3034.00 <br />Utilities Copy <br />