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� CITV OF EVERETT T� p�STING_.__�.�� <br /> UTILITIES <br /> PERMIT <br /> Date: 10/20/94 CMWo }: <br /> Service Addresa: 1301 ROCKEFELLER AVE _Change Requeet <br /> Billing Name: PROV GENERAL MED CENTER <br /> Billing Addreae: PO BOX 1147 <br /> City� State� 2ip: EVERETT WA 98206 <br /> Phones 261-2646 . <br /> Legal Description: Lot 0 Blk 0 Addn: <br /> Frontage: No. of Unita: 1 <br /> WATER SERVICE _ <br /> S.O. No. 0 Application No. 0 <br /> Fixed: Deposit: <br /> Svc. Sizes Svc. Type: Water Permit Fee: $0.00 <br /> Setter Inetallation Date By <br /> Meter No. Size Brand <br /> Meter Installation Date By <br /> Water On Off Locked Out By <br /> Remarke:— — — <br /> TSG <br /> SEWER SERVICE <br /> ermi o. : <br /> Permit Type: ALTERATION LID No. : <br /> Sewer Perm;.t Fees $30.00 <br /> Syeteme Uevelopment Fees: <br /> water 50.00 <br /> Sewer 50.00 <br /> TOTAL: $0.00 <br /> Bond III Connection Charge: <br /> Trunk S0.00 <br /> Lateral 50.00 <br /> TOTAL: SO.OU <br /> Aemarke: <br /> / � <br /> Inspected by / � ��P//�I.qn Date / - /G- '�'1 <br /> Grand Total: $30.00 <br /> �� � �D <br /> aO(`1 2 p 19g4 Public Worke Copy <br /> ...•C`QY�1d�Q��,v1� ��t <br />