Laserfiche WebLink
� �ILITIES TY OF EVERETT <br /> PERMIT SERVICES <br /> �y�°�' n' pERMIT <br /> 3200 CEDAI2 S"I'REET <br /> EVERETT,WA 98201 <br /> (42�)257-8810 <br /> PERMITNUMBER U1611-035 DATE: � 7 � <br /> Jos An�rzFss �920 MCDOUGALL AVE LEGac.DEscRiPTiorr EVERETT DIV K PLAT OF BLK 38� <br /> DFscku>r�oN INSTALL BACKWATER VALVE ^�'N 00437938402200 <br /> owN�x BARFIELD ANNIE TF.NANT <br /> 1920 MCDOUGALL AVE coNrancTOR AA PLUMBING LLC <br /> EVERETT WA 98201 861 1 V[STARAMA AVE <br /> EVERETT WA 98208 <br /> PHONI: <br /> �'�{�NF 4254850123 <br /> WATER SERVICE <br /> SF:RVICESIZE SFRVICETYPL FRONTAGE NO.OFIJNITS SERVICI:ORDERNO. I APPLICA'i'IONM1O. <br /> �.�Q <br /> SETTER I�STALLATIO\'DATE BY <br /> METER NO. S1ZE ql BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. I #2 BACKF[AW DEVICE SERIAL i�0. <br /> BRA\D <br /> — —.__ '_ _ _..._ MOIJtL NO. __. ___ _ <br /> MGTER ISTALLATION DATE BY <br /> WATER O� OFF __ I.00KGD OI:T_ dY_ TSG <br /> REVIARI:S- <br /> SEWER SERVICE <br /> PER"""° SP-16993 PERMIT7'YPE ALTERATION L'°'° <br /> REMARKS: Nlease Note:The City is responsible for structural defects in the sidc sewer on thc City ROW side per EMC 14.08.260 <br /> :� <br /> i <br /> 1VSPECTL.D f3Y- _�� I DATE' � _— � J � <br /> [..�-. ���- <br /> FEES <br /> �-�.> <br /> SEWER UTILITY r'EE $30.00 j ��� ("'-;, i ,., <br /> �� �1 %1 � <br /> � � � <br /> � <br /> P�� ��V 1 7 2016 �/� <br /> {'.. �,., / I. <br /> �J � �F �V�IdF�'-�' <br /> '�'OTALN7�:H,S �30.00 '"r����t �:rv�c�� <br /> PERMIT NUMBER U1611-035 <br /> ADDRESSCOPY <br />