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2122 COLBY AVE 2016-08-11
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2122 COLBY AVE 2016-08-11
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Last modified
1/12/2017 8:02:38 PM
Creation date
8/11/2016 1:59:20 PM
Metadata
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Template:
Address Document
Street Name
COLBY AVE
Street Number
2122
Notes
BACKWATER VALVE
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UTILITIES <br />PERMIT <br />PERMIT NUMBER U1602-048 <br />Jor� Auurzi:ss 2122 COLBY AVE <br />nk'sc�ziN�rioN INSTALL BACKWATER VALVE <br />�wN�R GADBOIS PAUL J <br />7604 SSTH AVE NE <br />CITY OF EVERETT <br />PERMIT SERVICES <br />saoo cF 1�AR s���K� �;�r <br />EVERET"I', WA 98201 <br />(425) 257-8810 <br />I DA1'E: <br />LL'GAL DESCRIP7'ION <br />TF.,NANT <br />EVERETT PLAT OF BLK 434 D-00 - <br />APN: 00439143402100 <br />MARYSVILLE WA 98270 CON1"RACTOR MOEN PLUMBING <br />l 7515 41 ST ST SE <br />SNOHOMISFi WA 98240 <br />��t-�oNr: <br />PHONE 4257608360 <br />WA'PER SERVICE <br />SGt\'ICE SI%E I SF.RVI('F: TypG I PRONTAGE I NO. UF' O IOO I SER\'ICE ORDER NO, I APPLICATION NO. <br />SETfER INS7'ALLATION DATE <br />MET6R NO. <br />R.F'. NO. <br />BRAND <br />MF.TER ISTALI.ATtON DATE__ ___. <br />WATER ON._ _ OFF ___ LOOKF'.0 OU'1' <br />RGMARKS <br />BY <br />BY <br />BY <br />s�ze <br />al BACKFLOW UEVICE SeRIALNO. <br />N2 BACRFLOW DEVICE SERIAL NO <br />MODEL NO <br />SEWER SERV[CE <br />"r) + - ,., <br />TSG � „v,,, i-i°j <br />�,.,,,. �- a..fy� �: <br />F--; <br />�y ---a = <br />4�iC�] <br />�.;.. �- I�..�� <br />:�? P"+' i <br />4.7 ?� i-_ • <br />�'=; <br />"FR"„' "°. SP-16543 N''R""'TT"P'' ALTERATION LIDNO. j:_::� <br />�Y�".t <br />i d [=::: <br />RF.MARKS: Please Note: The City is responsible for structural defects in the side sewer on the City RQW side per EMC 14.08.2G�'� ,*'."; <br />•s;a:e � +�Fr ... <br />s:.��! C,•! <br />`_} � n"s <br />_;s <br />- a ���� �.:'x ��): � <br />..._.. ...... r. �� - <br />r.":J �._^_'+ i--M° <br />_.._.{ Y .� �_sd <br />INSPEC'I'LU BY: I DATE.: ;"L �,•,a <br />FEF,S <br />Sewer Utility Pee <br />7'07'AL FI�,ES <br />$30.00 <br />$30.00 <br />TO P�STING �� � � �� 1 � <br />PERMIT NUMBER U1602-048 <br />ADDRE;SS COPY <br />
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