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0 <br />CIN OF EVERETT <br />UTILITIES <br />PERMIT <br />Date: 02/OS/96 CMWO �: /�0- � ��� �cp �� <br />Service Addresa: 2801 VIRGINIA AVE 1 _Change <br />Billing Name: SECOND BAPTIST CHURCH <br />Billing Addrese: 2801 VIRGINIA <br />C�.ty, State, 2ip: EVERETT WA 98201 <br />Ph��ne: 259-3136 <br />Legal Deecription: Lot 0 Blk 0 Addn: <br />Frontage: No, of Unite: <br />„.. ,� ��n,,. <br />���'� ��lSTING _ . ._ �, ?„�� <br />WATER SERVICE <br />S.O. No. 3791 Application No. 3G334 <br />Fixed: N Depoeit: Y <br />Svc. Size: 4" Svc. Type: FIRE Water Permit Fee: <br />Setter Inetallation Date By <br />Meter No.�7513�ize��_ Brand <br />Meter Inetal�ation Date Hy <br />water on � Off Locked Out By <br />Remarke:— — — <br />PAID AS WORR OhDER ON RECEIPT f117742 <br />SEWER SERVICE <br />erm o.: <br />Permit Type: LID No.: <br />Syeteme Development Fees: <br />Water 50.00 <br />Sewer 50.00 <br />Hond III Connection Charge: <br />Trunk <br />Lateral <br />Remarks: <br />Inepected by <br />$0.00 <br />$0.00 <br />Sewer Permit Fee: <br />TOTAL: <br />TOTAL: <br />Date <br />I � � � � D Grand Total: <br />� CJ <br />F�B OG 19°F� <br />�-EflE11 �.. <br />� r� <br />$1,021.OQ <br />50.00 <br />50.00 <br />$0.00 <br />S�oz�.00 <br />•••'��TY pF E� Utilitiee Copy <br />�uil�in9 Divisiort <br />