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3205 LOMBARD AVE 2016-01-01 MF Import
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3205 LOMBARD AVE 2016-01-01 MF Import
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Last modified
3/15/2017 10:02:33 AM
Creation date
2/17/2017 7:49:52 PM
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Address Document
Street Name
LOMBARD AVE
Street Number
3205
Imported From Microfiche
Yes
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BLIC WORKS Date 5/7/2009 � <br /> Public works Pertnit a PG0905-002 <br /> PERM IT B0905-008 <br /> Building Permit q <br /> PUBLIC WORKS DEPARTMENT Planning Relerence q <br /> 3200 Cedar Street <br /> Everett,WA 98201 Public Works Fee S $95.00 <br /> (425)257-8010 <br /> Guarantee 5 <br /> OWNERNAME TEMPLE BETH OR APPLICANTNAME �.(jCB�EL CROSS <br /> ANDADDRESS: 3ZLS I.OMBARD AVE ANDADDRESS: <br /> EVERETT WA 98201 <br /> PHONE: 9252597125 PHONE: �]25334I713 CCC ' r <br /> qzs- 2su- Q r l� <br /> �TA%PARCELI.D.k 00939076300300 PROJECTADDRE55: 3ZOS LOI`IBARD AVE <br /> DESCRIPTIONOF PAVING PII2 SPUN09-00?. <br /> PRUPOSEDVJOPK: <br /> i ' :•.:u <br /> . rc(7:Q�i_ <br /> - _ � ..n �F�_:�U. <br /> PERMIT CONDITIONS , .n en <br /> 1. All calls for ins ection shall be made 24 hours in advance • hone 425)257-8810 " -- I '� -` <br /> P P ( r,�:r:,c <br /> 2. All work shall be performed in accordance with Ihis permit and current Cily of Everett R@Slgn,and Cpp�tiq.�tion <br /> Standards and Specilications. -" � <br /> 3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-424-5555 . .. . _ �"' -�_ <br /> � .?e�.4;i=. � � <br /> 9. A� pe� appcoved plan dated 6-11-09. � <br /> 5. }Ceep city streets and alleys clean at all times during construction. � <br /> V+ <br /> W <br /> rI -- 3 -tC� `'` .-- . : os Q <br /> ;.`,iey,,�, � <br /> .:, , <br /> _-:)'AL 4`.uG � <br /> jG��o� �o ;�.�:,,.-_� _ °:. <br /> � H <br /> _ �C� , o <br /> a <br /> ,� <br /> ��� <br /> _ �CKNOWLEDGEMENT OF CONDITIONS <br /> ' � � � Tha unaersigned ownerlapplicant horeby agrees to hold and <br /> � save harmless the City of Everett fwm any and all claims tor <br /> npprovea ior const ci�� � oate damages,costs,expenses,or causes of action that may ariso <br /> because of insmllation and maintenance of the improvement or <br /> oiher righFobway use heroto applied lor and further agrees to <br /> remove same upon notice Irom the Ciry and to replace pu6lic <br /> FINAL INSPECTION p«�peqrty dama�7qed IhC/!eb�y1./1 <br /> ApprovedasConslricted Dato /I)I.�,,(��'(�?�-t' !� �!/ ��f/ �" _ <br /> � � <br /> Signature ol Appllcant � D'dto <br /> WORK AUTHO(11ZE0 BY TNIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERh11T IS ISSUEn 41.p THEREAFTER IS TO BE DILIGENTLY PUFiSU[D <br /> TO COMPLE710N.THIS PERMIi�1AY B[CANCELLED OY THE CITY UPON ANY STOPPAGE OF WOFK ON THIS PROJEC70VER 90 DAYS DURATION. <br />
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