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6919 COLBY AVE 2018-01-02 MF Import
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6919 COLBY AVE 2018-01-02 MF Import
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Last modified
1/27/2022 3:42:36 PM
Creation date
1/27/2017 4:47:07 PM
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Address Document
Street Name
COLBY AVE
Street Number
6919
Imported From Microfiche
Yes
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Dated2la-r6 C <br />P4cabr-; f 01 <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Mailing <br />3I' f-169 <br />IPubl¢ WOde Perm a �—%{�Vya 7? <br />Dleg. Dept. •ly— <br />Ap`"+ pllcant Mailing Address City Zen <br />Describe Proposed Work _ Aw—ft, OYU_ <br />Pubim Works Fee $ <br />Tolsl Fee <br />Lees Appl Fee PnN S — <br />BebnceDue $ '�"' <br />Phone <br />W <br />r //1 <br />Project Address lit known) <br />Attach four 141 copses of plans for proposed work -Draw to scale and note the following 0s applicable: <br />• Property Lines • Centerline of street <br />• Outline and dimensions of all existing and • Indicate North <br />• Show any proposed grading changes <br />Ch <br />proposed structures on the lot <br />• Existing and proposed utilities • Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />O <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hris in advance - phone 259.8810. <br />be in accordance with this permit and current City of Everett Design and Construction <br />2. All work shall performed <br />Standards and Specifications. <br />3, Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800.424.5555. <br />0 <br />0 <br />am <br />L <br />PUBLIC WORKS DEPARTMENT <br />Ever Cedar Street <br />Everett, WA 98201 <br />Phone: 259-8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims for damagos, costs. <br />expenses, or causes of action that may arise because of installation <br />and maintenance of the improvement or other right-of-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />DDe O�i �ItA )"�A ZIP <br />ignalute of pllcant r Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />
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