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4903 DOVER ST 2016-01-01 MF Import
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4903 DOVER ST 2016-01-01 MF Import
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Last modified
5/8/2017 11:31:57 AM
Creation date
2/12/2017 3:43:28 AM
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Template:
Address Document
Street Name
DOVER ST
Street Number
4903
Imported From Microfiche
Yes
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PUBL1� WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Evereli, WA 98201 � <br />(425) 257-8810 <br />O\NNERNAME 1'�� i CD'�:iC 1�� , ...',i�F <br />4ND ADDRESS�. � � -� � . <br />::l•�.G2"1� F".�. � i _ c <br />PI10NE: <br />TAX PARCEL I.O. a � ` <br />t�i <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />��. ' . � I PHONE: <br />L� <br />PROJECTAD�RESS: <br />TO POSTING. <br />,: <br />_ !e <br />Publie Wc �ks Permil # <br />Building Permit k <br />Planning Relerence � <br />Public Works Fee S <br />Guarantee S <br />`. <5771 A'.� SE <br />i�.';Ti:E':'i �,'%. <br />,� ,r,:;4h6t1r�8 <br />DEC 2 2 ZD07 <br />. . ,,,,� . <br />.:,, -�� <br />F��,5o8-r �, <br />__ ;:. <br />�;i <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-BP � 0 <br />2. All work shall be performed in accordance with this permit and current City of ' verelt Design and Conshuction <br />Standards and Specifica�ions. <br />3. Call Localion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />.,. : �n•. •. .. ,_ .. . . ��..� :�: 't-�;iL..•i�. ,., .. -. , ..��;. <br />. :r.��_; r. _,�_ [c� M� ..i:�=�i�Ftimts t�; [h�• •li}inage t:yac�ai �".:..vi•:1�,.2 i,�c this l,ft. , <br />,tc+rS al�ing 9N naryin of lat CDi1G attached. <br />instsll •rcuaion contcol eea�uKas pec City of Eve�ett Stand�cda foc ess21 pa��__, <br />. R11 Qxoavated eataclal frcm foundation, eiderraik 4 drivewa� ahall be hauled•��. <br />c?va0, peraittcd site. ►b wastinq of eatecial is allovni on thia bu113ina sit: <br />Ao�ove b tvplaea curb, quttac i eidcx+alk aa pe�e Ct� Stsndard Ylan /3051� i?06 <br />�•ir�p;.<al'e f�onYna,� 9- -.ti,r.,-t:.\� by the F`ul�lic Fl,�t:s Tns�;e._«��c ;i._. 3ll wius•. <br />Approvo'!!is Consimded <br />�Z'zl'o% <br />o,�� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Z <br />O <br />H <br />� <br />O <br />a <br />The undersigned owneUapplicant heeby agrees to hold and <br />;a.c harmless Ihe City of Everett Irom any and all claims for <br />damages, costs, ezpenses. or causes ol aciion ihat may arise <br />because ol installalion and maintenance of ihe improvement or <br />other right�ol-way ure herelo applied lor and further agrees to <br />remove same upon notice irom the City and to replace public <br />property damaged thereby. <br />_. � <br />�, r _. <br />SignaWre of Apphwni . Date <br />t':ORK AU7H0(iIZEO BV THIS PFRfAIT 1,1U5T BE STARTED IVITHIN 1B0 DAVS OF DATE PERMIT IS ISSUEO AND THEREAPTEFi IS TO BE DILIGENTLY PUFSUED <br />7U C01.1PI CTION THIS PL��Afll I.b1Y P�� CnNCFLLfU f3v THF. Gi1' UPON �NV STOPPAGB OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br />
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