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1818 LOMBARD AVE 2016-09-13
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1818 LOMBARD AVE 2016-09-13
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Last modified
5/4/2017 11:18:33 AM
Creation date
9/13/2016 3:41:15 PM
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
1818
Notes
BACKWATER VALVE
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UTILITIES <br /> CITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> /+ (425)257-8810 <br /> PERMIT NUMBER U1606-006 DATE: I p 3— <br /> JOB ADDRESS 1818 LOMBARD AVE LEGAL DESCRIPTION EVERETT DIV N PLAT OF BLK 36` <br /> DESCRIPTION INSTALL BACKWATER VALVE APN: 00438236502500 <br /> OWNER RICHARDSON DAVID E& ROSE M TENANT <br /> PO BOX 127 CONTRACTOR <br /> CHEMULT OR 97731 AA PLUMBING LLC <br /> 8611 VISTARAMA AVE <br /> EVERETT WA 98208 <br /> PI IONS <br /> PHONE 4254850123 <br /> WATER SERVICE <br /> SERVICE SIZE I SERVICfi TYPE. ERON"IAW 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 /> WATERON OFF LOCKED OUT BY TSG <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. SP-16676 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 /> INSPECTED BY� I DATE: <br /> FEES <br /> Sewer Utility Fee $30.00 <br /> LYIN 032115 V <br /> CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $30.00 <br /> PERMIT NUMBER U1606-006 <br /> TOPOSTING ADDRESS COPY <br />
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