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5427 BROADWAY 2016-01-01 MF Import
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5427 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 9:01:18 AM
Creation date
1/24/2017 9:01:00 AM
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Address Document
Street Name
BROADWAY
Street Number
5427
Imported From Microfiche
Yes
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u - . .___.__ - <br /> 9 �` Z`�v S <br /> z (� F � S— <br /> 5-27— 4 j5{ pOSTIt�G �����! v�mi�wonsa..,mn. �� <br /> Applir.a��o . f�r �y.--�� Uiag Deo� . 445 0�� Z' <br /> PUBLIC WORKS PEI�MIT F„���,=W���s�P� — <br /> a ,a�a��Pe s_ <br /> 0 <br /> g �e=,vo�,� ,P„P," s <br /> Print or Type Only � � 8 .8 � S �8 8 �@S� s 7r" <br /> � N M N M M ~M .�p M �O .�-� <br /> l� O ti �F MN <br /> Jerry Hicks 20541 NE 150th Woodinvi e 9�07� 883-0082 � <br /> '. � <br /> Owner Aq;��� � <br /> iro; .lr:�ra•'_,S � 'Q`i � � --9`—a7'— <br /> \ O W � = pV�� �� W� ,f_Sl Fhr�nr. <br /> � � U � V1� 3 <br /> owner g $ d r.i s' �' m' �� � t7� .., � <br /> ------ — -- <br /> Apphcant ,. ,:in��;; Addi �;.. r�tr _ ___ . —_._n—___ Phon. —_--_ ___- <br /> Describe Pionos�A Worp new house ____ _ __ <br /> - ^-- - 2 - - --------- - - W <br /> Pioject Address�d knownl ST2-�._r-�r�dV1�� � <br /> � . . �__'_ -_' _.._ .._ _ <br /> Att:Ch four(41 eoP�es of Plans tor Proposed N�o�e - p��v: 1:� ,r.ii...u,;l ncir Ihi�tollowing as apphcab�r � <br /> • Prpner�y Lines • C��n(erlinn nt sireet � <br /> • Oulline and dimensior.s- ol all e�isting anh • Icdicalo Nor�h <br /> propoSF.d Slfuc�UrEs on(hC Ipl • ShpW p�ly prCpoSPq i7ra�Lnn chan,�i=y <br /> • Ezisting and proposed utilities • Show mn,�surern�n�s <br /> DO NOT WFIIE EELON' i11151.INE � <br /> PERMIT CONDITIONS O <br /> 1.�II calls(or inspection shall be made 27 hrs.in advance-phone 259•881 Q � <br /> 2.All work shall be perlormed in acwrdance with this permit and current City of Everett Design and Construction <br /> Stanclards and Speci(ications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FPEE NUMBER 1-$00-424•5555. <br /> �. �',v�ew� must. � ►'� �r2�c�Z�- Izue 1 w�� '�h2. � <br /> �IG V?���n � -�1�� Gevl�,('1.1�t� O-� '�'�e. Ex�S'�-i�l q O <br /> s��-� 'Fra�,� �,� o-� i���^'llz✓1 �. l'1 -}'I�.e� (ZaJ �, <br /> T -�h.� {'rr��� l A'►.Q. . � <br /> � <br /> a <br /> /�7f/ ACKNOWLE�GEt�9ENT OF CONDITIONS <br /> ����� lh�.�ird„is���ni�tl o�vneUaPP6cant h�rebY agrees tu hold and sa��c harnr <br /> /// �-� � i i .. .. ;h.: City ui [vnie(t I�om any and all c'aims lor tldnnges. r.osls. <br /> _ _— __ <br /> I�/�/1/'] n � /��//�//ll r*� i.nses. or causc•s of action Ihat may anse because of installation <br /> r rl,�1��_ �� 74 +n�1 munlenanr.e n! thn improvement or other right ol �v�y use h����r.to <br /> � i -1 ��„� lor and furtha ,Aqr�rs to remove samr upon n��tiu: I�nm �hc <br /> APPrOV@d fOr ConsyLe��on� C,�I.� . C�!y ,ir.d tr ,�plac�; U�ib6r. ' o0eily dama �d �horeby. <br /> /""�� _ .-v'.��•'JS/ I t"iw;``�„o'` ���'�/� • � <br /> FINAL INSPECTION p,��„ <br /> Approved as Conslructed I Siynatwe ot A�ant p���-- <br /> � PUULICWORKSDEPARTMENT WOfiK AUTfiOFIZED BV TNIS PERMIT MUST BE STARTED WITHIN <br /> ,V�� 3200CedarStree� 180 DAYS OF DATE PERMIT IS ISSUC-D AND THEREAFTER IS TO <br /> Everett,WA 98201 I BE DILIG[IJTLY PURSUED TO COMPLETION. THIS PERMIT IdqY 8[ <br /> Phone:259�8810 ; G�"JCELLLD uY THE CI i Y UPGN ANV STOPPAGE OF WORK ON rfilg <br /> I ��O-iECTOVER 90 DAYS DURATION_ <br />
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