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2117 LOMBARD AVE 2016-09-20
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2117 LOMBARD AVE 2016-09-20
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Last modified
4/29/2022 3:13:44 PM
Creation date
9/14/2016 7:08:10 AM
Metadata
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
2117
Notes
BACKWATER VALVE
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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> t ""err PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1606-010 DATE: (D, —1 6 <br /> JOB ADDRESS 2117 LOMBARD AVE LEGAL DESCRIPTION EVERETT PLAT OF BLK 439 D-00- <br /> DESCRIPTION INSTALL BACKWATER VALVE APN 00439143900800 <br /> OWNER LUCAS JEFF C TENANT <br /> PO BOX 1242 CONTRACTOR <br /> CARNATION WA 98014 AA PLUMBING LLC <br /> 8611 VISTARAMA AVE <br /> EVERETT WA 98208 <br /> [>IroNe <br /> PHONE 4254850123 <br /> WATER SERVICE <br /> SERVICE SIZE I SERVICE TYPE I IRO\TAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO <br /> 0.00 <br /> SETTER INSTALLATION DATE BY <br /> METERNO. _ _ _ SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> RF.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 /> PERMITNO. SP-16680 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: <br /> DATE: <br /> FEES <br /> Sewer Utility Fee $30.00 1 Ln' `T� <br /> JUN 0 3 2016 <br /> CITY OF EVERETT <br /> P <br /> TOTAL FEES $30.00 ern-iit Services <br /> PERMIT NUMBER U1606-010 <br /> TO POSTING g� g� �' ADDRESS COPY <br />
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