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CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />L)ate—.--U <br />' CMWO /; <br />Service Address: 1804 74TH ST SE <br />Billing Name: FRANK LAURIE <br />Billing Address: 1804 74TH ST SE <br />Pit'hone; tate, Zip; EVERETT W <br />337-7075 A 98203 <br />Legal Descriptions L <br />-1 POSTING AUG N 9 199f, <br />Change Request <br />of 0 Blk 0 Addn= <br />Frontages <br />No. of Units: <br />WATER SERVICE <br />S.O. No. 0 <br />Fixed: Deposits Application No. <br />Svc. Size: Svc. Type: <br />Setter Installation Date__ y <br />B <br />Meter No.� Size <br />Brand <br />Meter Installation Date <br />By <br />Water On Off Locked out Remarks:— — - By <br />TSG <br />L <br />Water Permit Fee: <br />$0.00 <br />erm o ; SEWER SERVICE <br />Permit Type: ALTERATION LID No.: <br />Systems Development Fees: Sewer Permit Fee: <br />Water $0.00 $30.00 <br />Sewer $0.00 <br />TOTALS $0.00 <br />Bond III Connection Charge: <br />Trunk $0.00 <br />Lateral $0.00 <br />Remarks: TOTIT,: $0.00 <br />CONTRACTORS MR ROOTER PLUMBING <br />l <br />a <br />Inspected b / " <' Date <br />n an <br />Grand Total: $30.00 <br />0 8 1996 <br />Public Works Copy <br />CITY OF EVERETT <br />DuildinS DiviSlon <br />