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1812 LOMBARD AVE 2016-09-13
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1812 LOMBARD AVE 2016-09-13
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Last modified
5/4/2017 11:18:19 AM
Creation date
9/13/2016 3:39:46 PM
Metadata
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
1812
Notes
BACKWATER VALVE
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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1606-023 DATE <br /> JOB ADDRESS 1812 LOMBARD AVE LEGALDESCRIPTION EVERETT DIV N PLAT OF BLK 36` <br /> DESCRIPTION INSTALL BACKWATER VALVE APN: 00438236502700 <br /> OWNER STEVENS JANE M TENANT <br /> 1812 LOMBARD AVE CONTRACTOR AA PLUMBING LLC <br /> EVERETT WA 98201-2326 8611 VISTARAMA AVE <br /> EVERETT WA 98208 <br /> P110NF <br /> NIONF, 4254850123 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE I PROST.4GE NO.OFO 00 SERVICE ORDER NO. APPLICATION NO. <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE _ 41 BACKFLOW DEVICE SERIAL NO. _ <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. _ <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATERON OFF_ LOCKEDOUT BY TSG <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. SP-16693 PERMIT TYPE ALTERATION LID NO. <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 /> INSPECTEDBY: I DATE. <br /> FEES <br /> Sewer Utility Fee $30.00 <br /> j(,N Q ^ � g <br /> TOTAL FEES $30.00 CITY PcrlOj' w',�/F r <br /> il <br /> PERMIT NUMBER U1606-023 <br /> TO POSTING <br /> ADDRESS COPY <br /> ��'= <br />
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