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2109 MCDOUGALL AVE 2017-06-21
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2109 MCDOUGALL AVE 2017-06-21
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Last modified
6/21/2017 2:43:44 PM
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6/21/2017 2:43:43 PM
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Address Document
Street Name
MCDOUGALL AVE
Street Number
2109
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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> �n PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8110 <br /> PERMIT NUMBER U1608-024 DATE; <br /> X <br /> JOB ADDRESS 2109 MCDOUGALL AVE LEGAL DESCRIPTION CAPITOL H,,1 L ADD BLK 441 D-00 <br /> DESCRIPTION INSTALL BACKWATER VALVE APN. Q0401544100500 <br /> OWNER COBB ERIC TYLER&ANNETTE M TENANT <br /> 2109 MCDOUGALL AVE CONT TOR A PLUMBING LLC <br /> EVERETT WA 98201-2422 <br /> 61,1,VISTARAMAAVE <br /> RETT WA 98208 <br /> PHONE w <br /> P E 4254850123 <br /> A ERS VI <br /> SERVICE SIZE I SERVICE TYPE I FRO AOE »n�NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 0.00 <br /> :i <br /> SETTER INSTALLATION DATE BY ' <br /> METER NO. SIZE k _ #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. I #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE_ BY �! <br /> WATER ON_OFF_ LOCKED OUT BY _ TSG <br /> REMARKS: ' <br /> SEWER SERVICE <br /> PERMITNO. SP-16801 PERMIT TYPE ALTERATION LID NO. <br /> REMARKS: Please Note:The CO <br /> 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 UTI Y FEE $30.00 /;:",*A <br /> AUG 05 2115 <br /> CITY OF EVERETT <br /> TOTAL FEES $30.00 Permit Services <br /> PERMIT NUMBER U1608-024 <br /> ADDRESS COPY <br />
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