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6431 LOMBARD AVE 2018-07-25
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6431 LOMBARD AVE 2018-07-25
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Last modified
7/25/2018 8:18:29 AM
Creation date
7/25/2018 8:18:27 AM
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Address Document
Street Name
LOMBARD AVE
Street Number
6431
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UTILITIE°S CITY OF EVERETT <br /> PERMIT SERVICES. <br /> a „ a 1 PENT 3200 CEDAR STREET <br /> �,_ vow m :� EVERETT,WA,98201." <br /> 02.5)..257-8810 <br /> PERMIT•NUMBER U1803-031, DATE "� 6 • <br /> i V J - <br /> ,JOB ADDRESS 6431 I OMBARD AVE SE LEGA DESCRIPTION <br /> DESCRIPTION REPAIRSIDE SEWER APN, 00544701:501406 <br /> OWNER NICKEL DANIEL. TENANT, <br /> 643`1 LOMBARD AVE corrizucTox <br /> EVERETT WA 98203 SIDE-SEWER <br /> PO BOX 137 <br /> MUKILTEO WA 98275 <br /> PHONE <br /> PHONE 4257723400 <br /> WATER SE2VICE <br /> SERVICE STZE-,, SERVICE TYPE FRONTAGE -NO.OF UNITS, SERVICE ORDER NO -� APPLICATION NO <br /> 0.00 I' <br /> SEI IER INSTALLATIPNDATE' ,BY . - <br /> METER NO. - SIZE #1 BACKFLOW DEVICE SERIALNO. - <br /> P2 BACKFLOW DEVICE SERIALNO. <br /> BRAND MODEL NO:: <br /> METER ISTALLATLON DATE i- BY • <br /> .. - "'tom 3 <br /> WATER ON OFF_ LOC <br /> KED GIP}. BY <br /> REMARKS: - i...t r''�!e''i .N•- <br /> ca <br /> SEWER SERVICE ? <br /> PERMIT NO. PERMIT TYPE REPAI - �j <br /> 1.1� - I LIDNO 'Q.7 Hli <br /> REMARKS; Please Note:The City is responsible for structural defects Sn"the side sewer on the City ROW side per EMC 14 6 6 • t <br /> n � z� <br /> INSPECTED BY: - I DATB �'""''K-:'z <br /> SEWER UTILITY FEE $30:00 <br /> TOTAL FEES. $30.00 <br /> PERMIT.NUMBER U1803,031; <br /> ADDRESS COPY <br />
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