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4809 BELVEDERE AVE 2016-01-01 MF Import
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4809 BELVEDERE AVE 2016-01-01 MF Import
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Last modified
4/24/2017 2:06:29 PM
Creation date
1/23/2017 12:45:10 PM
Metadata
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Template:
Address Document
Street Name
BELVEDERE AVE
Street Number
4809
Imported From Microfiche
Yes
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PIJBLIC WORKS <br />PERMIT <br />PUBI IC 17UHh5 f1LPAH1IA[�N( <br />'?��0 Ci�dJr Strcr;� <br />I�vciclt. WA 9820t <br />,,:'�z5'�POSTING _�.�."..�.�'._�oo <br />.,CJ41 I� r�n1.t1 r.iu�.t :- nt �. i-. �._..�.�. r. <br />r.rn�,nuowss ji..oJ�. �)F.L AVf: �k <br />f.+"!THELL :rF. _ .. <br />ri�oni 4<'6'163895 <br />Z'i.! J��" 7� ", (,. <br />mx��ni�cr:i.ioa (+;�.q�7(�o�lii'_i��: <br />��I -,� ��PIV�t�nq n; <br />I 1,.� 4�.•.I I� �•�-�:d I. <br />PLRMIT CONDiIf ': <br />ni�i�i ��r nrn ru,r�i <br />N7� r.r:a�l �.. <br />�m <br />DrN' "., _ <br />P�ihiic Works Permit p P0��511-002 <br />COtill-003 <br />BwiAing Permil a <br />Piamm�g Releience N <br />Public Woikc Fea S <br />G�l;uan:re $ <br />�fl�nlft.�,l�l�al!'.. _ - �:�F... . .�, k. . . <br />t. All calls lar inr���• ' �� ' � � - � � -� � � � �� - � � <br />2. All work slt�ll b�. � . .. . . .. . . .. . . . . . � . � ., . . . . �,� i .. , . . ., <br />Standards and tipnc.d�c.mon�, <br />3. Call Loc�6on Untlerground Service 4Ei hrs. betore you n�9 TOLL FREE NUMBER 1-800-424-5555 <br />�. : nr�r,:+ ...._ .�=,.n:� {,..i ..�.1 Stan�Jari F•. � ., �, ,. <br />� "."nn � � i,._.rt , cl�r•an.:��.-,�.it:= t�:, the cic .-:n; �.- � - ,. , . . . . . ['��:� . <br />. ,��. .�. . .. . .� . . . ... . . � � . . . . . �� ' . .... . �_ i �.r <br />� /��__.'yfG�-z`C.. � . -�[' �'/ �� S <br />npP�q�w��i m�PucLo, � � 1 un <br />7 • <br />�� �. / �... . _ ._��/ _��_ <br />FINAL�W CI10 <br />nni�•�.��d m, c,,;n-.v�irn.n ILnr <br />...: �� . �,'r, i <br />. : i � .. _ _ . . <br />ACKNOWLEDGEMENT OF CONDITIONS <br />1 n�� untlers�9netl owner applicant hereby agrees to hold and <br />savis harmless the Cqy ol EvereU Irom pny and all r.laims lor <br />tlamac�es. costs, eMpenses. or c. ises ol action ihat may anse <br />hYLl�50 O� if151lllalli0ll 3�d ffl.lifl�p�dOCb 0� 11,b i�1plOvt���E•ni O� <br />olher ngh�-o��way use he�elo applwd �0� and Wrihur ng�ees �a <br />�emove same upon nm�ce I�om �he C�'y and �o rpplace pubi�c <br />proper�y damaged Ihe�eby. <br />�'� ��'�i � r .._. <br />. c • _ . .______—_' __. . . <br />S��na�we ol P(�p/���nt Date <br />NITNI]R41 I� P�' ���i'� f'! Nl.fi', I.IUtii Ill tiln�Vlf 11 WIIHIN �N:i Dnvti OI f1Nl� PFN�U�IS ISSUED AND T1IFRFAfTFR IS TO �L D�UfFNTLV PUR�UI I� <br />�q�i��....•,...��,�.��� ��n�PfrY,'l�llllf�,P.1'7Hliii'r�IPr'�r�4r1�,-.I����or'�.� .ii�rnb� .;nU�,{':t'lifr:i-�`:Iq,'['.1V°.fn.iHhlit��1 <br />W` <br />r <br />V+ <br />W <br />O <br />� <br />Z <br />O <br />H <br />� <br />O <br />a <br />
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