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CITY OF EVERETT <br />UTILITIES POSTING 2_ <br />PERMIT <br />Date: 01/08/96 CMWO t: <br />Service Address: 203 73RD ST SW _Change Request <br />Billing Name: LUKE DARRELL <br />Billing Address: 203 73RD ST SW <br />City, State, Zip: EVERETT WA 98203 <br />Phone: 353-8009 <br />Legal Deec-iption: Lot 0 Blk 0 Addn: <br />Frontage: No. of Unite: <br />WATER SERVICE <br />S.O. No. 0 Application No <br />Fixed: Deposit: <br />Svc. Size: Svc. Type: <br />Setter Installation Date By <br />Meter No. Size Brand <br />Meter Installation Date By <br />Water On Off Locked Out <br />Remarks:— <br />TSG <br />BV <br />0 <br />Water Permit Fee: <br />SEWER SERVICE <br />erm o.: <br />Permit Type= NEW CONNECTION LID No.: <br />Sewer Permit Fee: <br />Systamb Development Fees: <br />Water $0.00 <br />Sewer $0.00 <br />TOTAL: <br />Bond III Connection Charge: <br />Trunk $0.00 <br />Lateral $0.00 <br />TOTAL: <br />Remarks: <br />73RD ST SW SEWER E%TENSION <br />Inspected by & 411md j' Date <br />n <br />Lp <br />JAN 0 81996 <br />........... ...... ..I ... I.......... <br />CITY OF EVERETT <br />©ulldinp Division <br />Grand Total: <br />$0.00 <br />$70.00 <br />$0.00 <br />$0.00 <br />$70.00 <br />Public Works Copy <br />