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6924 COLBY AVE 2018-01-02 MF Import
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6924 COLBY AVE 2018-01-02 MF Import
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Last modified
5/24/2024 10:15:53 AM
Creation date
1/27/2017 4:49:40 PM
Metadata
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Template:
Address Document
Street Name
COLBY AVE
Street Number
6924
Imported From Microfiche
Yes
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In <br />C N <br />J'C Cta r <br />it M <br />2Htn <br />H O N <br />oale-- i/2hU 1 <br />A m)1 iCalion r„r <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Robert White 6924 Colby Everett 98203 3 <br />..._... Melling Address <br />Craft Master Contractors 2027 <br />.. eleillnr <br />Ave Everett 98201 <br />public thi Perrpj�l <br />77 / <br />Bldg Dept, • <br />Publlc'No" Fee S <br />Total Fee <br />Lee, Appl. Fee Paid S <br />Balance Due 9 <br />Ynone <br />Describe Proposed Work Enclose carport — <br />Project Address (if known) h - ' ^dr <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the <br />Centerline as of applicable: <br />• Property Lines • Indicate Northtreet <br />Outline and dimensions of all existing and • Show any proposed grading changes <br />proposed structures the tot • Show measurements <br />• Existing and proposedd utilities <br />PERMIT CONDITIONS <br />1. All calls for Inspection shall be made 24 him in advance - phone 259.8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 bra. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Ceder Street <br />Fverell. WA 98201 <br />Phone: 259.8810 <br />00 <br />O <br />W1 <br />Le <br />U) <br />O <br />0M <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to held and save harm- <br />less the City of Everett from any and all claims for damages, 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 />Signature of Applicant Date <br />AUTHORIZEDWORK BWITHIN <br />18oD DAYS OF DATE PERMIT sISS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />
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