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8/19/2019 Page 1 <br /> 2:20:16PM City of Everett <br /> INSPECTION ACTIVITY REPORT <br /> Permit No. P1812-002 Site Address 2930 MAPLE ST <br /> Applied 12/4/2018 Applicant BEMBRYAMMONE Lot <br /> Approved 12/4/2018 Owner GROUP HEALTH COOPERATIVE Block <br /> Issued 12/4/2018 Contractor MACDONALD MILLER Tract <br /> Parent Permit No. B1809-043 Description 3NEW SINK/WATER SUPPLY/BACKFLOW PREVENTER ANE <br /> Notes ESPRESSO MACHINE/NEW DRINKING FOUNTAINS <br /> Scheduled Completed Type Inspector Result Remarks Inspector's Comments <br /> 1/22/2019 1/22/2019 PLUMB SDP APPROVAL (1/22/2019 7:45 AM SDP) <br /> 03-ROUGH IN Brandon on site-425-750-4311 <br /> (1/22/2019 2:03 PM SDP) <br /> Ice machine shall have an RPBA on the <br /> water supply.Have assembly tested. <br /> 1/23/2019 1/23/2019 PLUMB SDP OTHER completed on <br /> 03-ROUGH IN 1/22/19 <br /> 3/8/2019 3/8/2019 ADMIN USE KLC APPROVAL <br /> ONLY** <br /> 3/8/2019 3/8/2019 PLUMB 06-FINAL SDP APPROVAL Phone:206-571-9813 <br /> (3/8/2019 3:00 PM SDP) <br /> Received back flow test report for ice <br /> machine. <br /> INSP12 ailiVS Y5 TE A4 S <br />