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2001 MCDOUGALL AVE 2018-05-15
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2001 MCDOUGALL AVE 2018-05-15
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Last modified
5/15/2018 11:43:28 AM
Creation date
5/15/2018 11:43:27 AM
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Template:
Address Document
Street Name
MCDOUGALL AVE
Street Number
2001
Notes
BACKWATER VALVE
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' �ILITIES � �y OF EVERETT <br /> PERMIT SERVICES <br /> E' ° n' PERMIT <br /> 3200 CEDAR STRGGT' <br /> EVERGTT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U16ll-036 �ATE <br /> �oa n�D�ss 2001 MCDOUGALL AVE ���GaL�EscRiPTioN CAPITOL HILL ADD BLK 418 D-00 <br /> r�i:scxi�r�oN INSTALL BACKWATER VALVE AI>N: 00401541800100 <br /> °wNeR gARON FRANK r�NANT <br /> 6140 EAST MERCER WAY coN��Rncrox AA PLUMBING LLC <br /> MERCER ISLAND WA 98040 8611 VISTARAMA AVE <br /> EVERETT WA 98208 <br /> �>i ioN�: <br /> i'"oNi� 4254850123 <br /> WATER SERVICE <br /> SERViCE SIZI�: I SERVICE TYPt FRONTAGE NO.OF UhITS SBRVICE ORDER NO. APPLICATION h0. <br /> 0.�� I <br /> I <br /> SETTER InSTAL.LATION DATE E3Y <br /> Mf:T[R h0.__ . _ S[ZE #1 BACKFLOW DEVICE SERIAL NO. <br /> RF.VO. ' ____ _ .. _- I #2 BACKFLOW DEVICE SERIAL NO. ---�- _ __ <br /> BRAND MODEL NO. <br /> MGTER ISTALLATION DATE By <br /> 1i'A'I�F.R O.\__ OFF _ LOCIiED OI:T_ BY_ _. T$G <br /> HLMARKS'. <br /> SEWER SERVICE <br /> rt;ismrrv° SP-16994 rea"uT'�vrr ALTERATI�N L1UNO <br /> RF.�IARKS: Please\ote:7'he City is responsible for struc[ural defects in the side sewer on the City ROW side per EYIC 14.08.260 <br /> /� <br /> / <br /> IVSPEC'ITDBY: � . �, I DATE: � .� ��� <br /> �' L� <br /> FEES <br /> SEWER U'I ILI"CY FEE $30.00 �;a � � <br /> � ���� � � �, <br /> � ��� <br /> � ��� 1 7 2016 <br /> ��CTY �� �;�E�ET�' <br /> T07'ALFEES $30.00 �'��''1?it �er��,j�,,,, <br /> PERMIT NUMBER U1611-036 <br /> ADDR�SS C'OPY <br />
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