Laserfiche WebLink
- � TY OF EV��RETT <br /> ILITIES <br /> PERMIT SERVICES <br /> �' '� . PERMIT 320o CED�ST,Z��T <br /> EVERETT,WA 98201 <br /> (425)257-88 f 0 <br /> PERMIT NUMBER U1611-033 �ATF: ��,� � <br /> fos A�uREss 1912 LOMBARD AVE LEGAL nEscRtPTtoN EVERETT DN K PLAT OF BLK 38� <br /> t�rscau>TioN INSTALL BACKWATER VALVE At�N: 004379382026i�0 <br /> °`'vN�iz ANDERSEN SHANE C TENaNT <br /> 1912 LOMBARD AVE coNTaAc�oa AA PLUMB[NG LLC <br /> EVERETT WA 98201 <br /> 861 1 VISTARAMA AVE <br /> EVERETT WA 98208 <br /> PI ION![ <br /> N��oNE 4254850123 <br /> WATER SERVICE <br /> � <br /> SERVICE S1ZE 11:RVICE"fYPE I PRO'�'TA(iE VO.OI�UhITS SERVICI:ORDER�'O. APPLICATIO\\'O. <br /> I �.Q� <br /> I <br /> SETTER IVS7'ALLATION DATP gy <br /> ��R�n- S�� _,_ #1BACKFLOW D[VICE SERIALNO. <br /> R F'.�O. _ ._._.. . ' ' I p2 BACKFLOW DtVICE SERIAL NO. '� <br /> BRA�'U <br /> MODEL NO. <br /> \tETER IS'1'.4LLATIO\DATE qy <br /> WAl'I;R ON_ OFF LUCICED OUT _ 13V_ .._ _. TSG <br /> REMAItKS: <br /> SEWER SERVICE <br /> rF�""'O SP-16991 PERMITTYPE ALTERATION `'°"° <br /> REMARKS: Please Note:"Che City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> INSPECTI�,D BY'. I DATE: <br /> FEES <br /> S1-;WERUTILITYFEE $30.00 ,� ���, i�t' � Ir� <br /> � ` <br /> '� ��v � � �o�s ,� <br /> � <br /> � <br /> ����T'Y OF EVER���� <br /> TOTALFEES P�r�»�t �,'���ic��;; <br /> $30.00 <br /> NERMIT NUMBER U1611-033 <br /> ADDRL-'SS COPY <br />