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v . <br /> o ��Y��fl� <br /> �, __ - . - - - — <br /> i -� aTv oF eveAerr <br /> _`�µ- � UTILITIES <br /> � <br /> �;:� PERIIAET . _ . <br /> �"---'--:.Date: 03/31/97 _...__ - . ..__.CMWO �: .. "' , ( �_--.. . . . . . . <br /> ^" " Service Addreee: 2316 12TH ST Change Reque t ' ' ' <br /> T _ .y_.. <br /> _ . <br /> �"ct,�,.. .'._.Billinq�Name: �. '� BOYs & GIRLS CLUH � .: . �... . . � .. ,.�: ` .. . .-�.:. � .�.�._;..-_'« ..Y..��.,^';i. <br /> ����� Billing Addreee: 2722 WLBY AVE #415 . _ _ <br /> � � City, State, Zip: EVERETT WA 98201 . � � - <br /> i�+tE Phona: 258-2436 ' �° <br /> �_.. <br /> $�� Lagal Description: Lot 0 Blk 0 Addn: <br /> Frontage: No. of Uni.ta: � <br /> Y�_ <br /> r.- <br /> _. <br /> •x�... <br /> YI: <br /> I 'e•+�•�.� � ' - WATER SERVICE � <br /> 3,-": i <br /> F:?. 3.0. No. 9320 Application Nc. 30863 <br /> M'' <br /> Rr. � Fixed: N Depoeit: Y - , <br /> ^"' " Svc. Size: 6" Svc. Type: FA Water Permit Fee: - $9,338.00 <br /> � Setter in/e,tallation Date--�—By � <br /> �� Meter No�`�5�� �d Size 3�� Brand �� <br /> i Meter Inetallation D/ate�y/('/�Y9 / By - _ <br /> � Water On off 7/ ' Locked Out_ By <br /> Remarke:— . <br /> -•; -,PAID ON WORK ORDER RECEIPT �126214 �y �� <br /> � ;'s: / /� c.� . . _ .. <br /> TSG_�6JC�� �G�/'1 / . � � . . . i <br /> � •- SEWER SERVICE <br /> ermi o.: <br /> Permit Type: LID No.: <br /> .. - Sewer Permit Fee: $0.00 <br /> Syeteme Development Fees: <br /> Water 50.00 _ <br /> � - Sewer $0.00 <br /> . TOTAL: � $0.00 <br /> "' - Bond III Connection Char9elrunk $0.00 <br /> - Lateral $0.00 <br /> � . TOTAL: $0.00 <br /> Remarke: <br /> inepected by Date <br /> Grand Total: $9338.00 <br /> Ctilities Copy <br />