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UTILITIES CITY OF FVEIZETT <br /> PERMIT SERVICES <br /> PERMIT 3200`CEI?AR STREET <br /> EVERETT,WA 98201 <br /> (425)257.-,8810 <br /> PERMIT NUMBER U1508-Q71 DATE- 8/31/2015 <br /> TOB ADORES$ 3528 LOMBARD AVE LEGAL DESCRIPTION <br /> DESCRIPTION INSTALL-BACKWATER VALVE APN. 00438185601900 <br /> OWNER PADILLA JOAN TENANT <br /> 3528.LOMBARD AVE CONTRACTOR . PIONEER CQNSTRUCTION SERVICES <br /> EVERETT WA 98201 303 91ST AVE NE#E502/53 <br /> ' ,LAKE STEVENS WA 98258 <br /> PHONE 3607942320 <br /> PHONE 4259535655 <br /> IWATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE -`. NO,OF UNITS SERVICE ORDER NO. APPLICATION NO <br /> 0.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO SIZE :#1 BACKFLOW DEVICE SERIAL NO <br /> R F.NO #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO <br /> METER ISTALLATION DATE BY <br /> WATER ONS OFF_ LOCKED(?UT BY - - - .TSG <br /> REMARKS: -.. i <br /> I SEWER SERVI"CE . �, <br /> PERMIT'NO. SP-16305 PERMIT TYPE -.. ALTERATION <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260, <br /> INSPECTED BY I DATE' <br /> FEES <br /> Sewer .. .. _ �.. � <-> <br /> Utility Fee $30:00 3 3 V- E <br /> 31. 2015T <br /> CI'T YAUG <br /> OT'.L:SJ�RET <br /> errnIt �0iVCeS <br /> TOTAL FEES $30.00 <br /> PERMIT NUMBER - U1508-071 <br /> ADDRESS COPY <br />