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ciTv oF Eve�err � 1 7 � <br /> UTILrTIES TO PO�TING <br /> PERMIT <br /> Date: 06/10/98 CMWO #: �/YJ ���� ���� ^� (cpr-] <br /> Service Addrese: 2316 12TH ST 1 _Change Requeet <br /> Billing Name: BOYS & GIRLS CLUB <br /> Billing Addreea: 4322 RUCKER AVS <br /> City, State, Zip: EVERETT WA 98203 <br /> Phone: 425 258-•2436 <br /> Legal Description: Lot 0 Blk 0 Addn: <br /> Frontaqe: No. of Unite: <br /> WATER SERVICE <br /> S.O. No. 9765 Application No. 31308 <br /> Fixed: Y Deposit: N <br /> Svc. Size: 2" Svc. Type: IRRIGA Water Permit Fea: $1,200.00 <br /> Setter Installation Date � � � c8y��-r (il,�STI//g-/(j� <br /> Meter No.y$�(„��(5!q size � r� erand /�.�u4s.�:vr• <br /> Meter Inetallation Date �Q-�Y'�� By (�� <br />' Water on Off Locked Out� By � <br /> Remarke:— — <br /> ��?Y���� �1 '`D�-� �- 3 n�` ) <br /> T�G���%��67//'��( � d'if-fl.�✓L/iC �-�r <br /> � <br /> SEWER SERVICE <br /> ermi o. : <br /> Permit Type: LID No. : <br /> Sewer Permit Fee: $0.00 <br /> Syateme Development Feee: <br /> Water $0.00 <br /> Sewer $0.00 <br /> � �- TOTAL: $0.00 <br /> Bond III Connection Charge: <br /> Trunk $0.00 <br /> Lateral $0.00 <br /> TOTAL: $0.00 <br /> Remarks: <br /> Ins�,ected by Date <br /> Grand Total: $�200.00 <br /> Utilities Copy <br />