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1720 LOMBARD AVE 2022-04-29
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1720 LOMBARD AVE 2022-04-29
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Last modified
4/29/2022 2:42:40 PM
Creation date
4/29/2022 2:42:16 PM
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Address Document
Street Name
LOMBARD AVE
Street Number
1720
Notes
BACKWATER VALVE
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� <br /> UTILITY PERMIT �1PPLI��TION <br /> CfTY OF EVERER PERMIT SERVIC�S <br /> 32Q0 CEDAR STREET, EVEREfT, WA 98201 <br /> 42�257-8810 - FAX 42�257�857—www.evereltwa.orB <br /> 1� � � L(m� �� �-t-�� �l'l� <br /> �� <br /> 1�c� �l � � ��-v� FvQ►� w�t- ��-� <br /> P,nperty ow�,er �a1 nmr�s �, sm� �tnrc, <br /> Te�t Nmra pf Utis is for a cvmrt�dsi 6�u'viess) <br /> .�-S' �I 8`3 - <br /> �$�jvrnb�►� 1.�� �6f1 UIC'1'a-rrzn-w �= fis2r�-�— orz-� <br /> ColThadnr C�Y �P Phaxe <br /> �''7Y`I �(v � � �)/�/�� _ �/ `�J�.J�P <br /> WA St�e Contr�nr Licmisn'hmiber(requ�e� � Cly ot[vetr.tt Business Licetsse Number(teqirired) <br /> Work Lo be done: <br /> ❑ Side Sewe� Repair <br /> ❑ Side Sewer Atteration <br /> ❑ Side Sewer— New Installation <br /> �' Install Backwater Valve outside the buiidirTg) <br /> ❑ Cap off Sewer <br /> ❑ Instali Water Meter <br /> FEE <br /> �LU <br /> a i ��T� <br /> 5 u � 5o3 - � �6 <br /> ,�,f,�,. <br />
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