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� <br />� <br />UTILITIES <br />CITY OF EVERET'T <br />PERMIT SERVICES <br />PERMIT 3200 �ED,� STR��T <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PEdtMIT NUMBER U1608-014 <br />�oB aD�uess ?2 �'7 LOMBARD AVE <br />�ESCRIPTI�N INSTALL BACKWATER VALVE <br />owNrR yATES MICHAEL/GUMKE MICHELE <br />2217 LOMBARD AVE <br />EVERETT WA 98201-2333 <br />I DATE: <br />LE�nL D�scxii>rroN EVERETT PLAT OF BLK 475 D-00 - <br />APN: 00439147500900 <br />TENANT <br />coNTRnc�roa AA PLUMB[NG LLC <br />861 1 VISTARAMA AVE <br />EVERETT WA 98208 <br />i�iioN� I <br />PHONE 4254850123 <br />WATER SERVICE <br />SERVICE SI'Z.E <br />SE17ER I�STALLATIO\ DATE <br />SF.RVICE TYPE <br />:�SETER \O. <br />RF.\O. <br />BRAND <br />�TER ISTALLATION DA'I L gy <br />WATER ON OF'I� LOCKI:D OUT BY <br />REMARKS: <br />PL;R�IIT \O. <br />RF,MARKS: <br />INSPECTED BY: <br />BY <br />FRON"I'AGL: <br />v0. OF U�'ITS <br />Q.O� <br />#1BACKFLOW DEVICE SERIAL;�'O. <br />q2 BACKFLOW DEV]CE $ERIAL NO. <br />MODEL 1�0. <br />SEWER SERVICE <br />TSG <br />SERVICE ORDER NO. I API'I.ICA'I'ION NO. <br />SP-16791 Pf:RINI'f'I'YPE ALTERATION I L1DNO <br />Please Note: The City is responsible Tor structural defects in the side sewer on the City ROW side per F,MC 14.08.260 <br />sEwEu trri�rrv rri: <br />ro�rn�, r�:N.s <br />$30.00 <br />$30.00 <br />FEES <br />DA'I't: <br />PERMIT NUMBER U1608-014 <br />ADDRGSS COPY <br />