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9512 HOLLY DR 2016-01-01 MF Import
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9512 HOLLY DR 2016-01-01 MF Import
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Last modified
2/18/2017 12:49:38 PM
Creation date
2/18/2017 12:49:30 PM
Metadata
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Template:
Address Document
Street Name
HOLLY DR
Street Number
9512
Imported From Microfiche
Yes
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. ,� , � � <br /> , �,p{n <br /> � <br />�r.._ :c. .._,. C�._:� ,_ . .� ��-.� .++'f'../...'f- �� ._..�cca�� �rd rlta <br /> .�'y�����1 �fN6/���a� '.' Date 'i�j�i �_nfr." <br /> � T � � �� � PublicWorksPermit,Y rg�n�_.�i;-ri_7 <br /> P����� ■ � . .:;)li.�_... <br /> CT Builtling Permit K <br /> PUBLIC WORKS(JEPARTMENT; Pianning Reference�' <br /> 3200 Cedar StreeC � <br /> Everett,WA 9t72QJ, :Fi f i Pubiic Works Fee S ;c.n r�i i <br /> (4251257-881tl�'�' :.,;J.P� ' . • . . <br /> i�. �,5�..n�� -� <br /> —,�;:.;� , ��. <br /> Guaranleo5 L� L"�'� S'���2:� <br /> �YJNER NAME APPLIC/1NT�NAME �� <br /> ANDAUCRESS: I4CC;''JDLi,'JS 'I`'AVTS ANDADDRESS: (1[Q}J$Jj <br /> 95i2 90LLY L'�k � �� <br /> EVEF:E'rT Wk 98209 I <br /> P"o"E: q1.53478998 PHONE: <br /> I <br /> TA%PARCELI.D.# OOJ�8700��0500 PR0.IECTAODRESS: 451?J4520 APLLY DF. <br /> DESCRIPTION OF <br /> PROPOSEDWORK: IF7S'17iLL SEWEF; M7fITi <br /> PERMIT CONDI'.IONS <br /> 1. All calls for inspection shall be made 24 hours in advarce. <br /> 2. All work shall be pedormed in accordance with this permit and curreM City of Everetl Design and Consiruction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMDER 1-800-424-5555 �` <br /> :1. tJoL}; C� kc done pec appruved plan dsted OB-29-07 = <br /> 5. Conn�c+:ion fFes a side secrec inspection foc these hook-up. �i11 be dor= by Mu{:iitio � <br /> SYM,�1 DSS1.1'1CI' <br /> 5. Provide traffic control per Ml�7CD and as directe� by the Public Works In�pector � <br /> r.r:7�., yi-.i._r *,,::1-l':S I?;SI�IgrTT_r�li; CTLL !'LIFF �Itf6MAii �.T �1'S-33P-7�1�?�A � <br /> � <br /> Z <br /> � <br /> I� <br />_ (� <br /> Q <br /> a <br /> ��.1 l�±,�N�I I���% � Z <br /> S- ' � <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> / The undersignetl owner/applicant hereby agrees to I•�old and <br /> __A't f /c]'J` Ll7 save hartnless ihe City of Everell irom any and all claims tor <br /> y �`_v' v � damages,costs,ezpenses,or causes of aclion ihat may anse <br /> Appra IorConslmction Dal <br /> because of inslallalion and maintenance of the improvement or <br /> , : �� olher righ4ot-way use herero applied lor and fur�her aqrecs io <br /> c:Y�`�%� � _ _ _z _____. .� remove sam on nolice Imm Ihe City and to replace put�lic <br /> -NSPECiION � .., � I prope magedthcrn6y. <br /> '' ?�pprovedm Constmcted Date �'�� <br /> 1 . ..;� _ U,Z�/�u�' <br /> _ — Sign3NreulApplicanl Dale <br /> WORK AUTHORIZED BV THIS PERMIT MUST�E STARiED WITHIN 1B0 DAYS OF DATE PEFMIT IS ISSUEDAND THEPEAFTER i5 TO BE OILIGENTLY PURSUED <br /> TO COA1PlETICN.THIS PEfaG11T M11AY�[CANCELLED GV iHE CIiV UPON ANV STOPPAGE OF WORK ON THIS PP.OJECT OVER 9C D4VS DC9ATION. <br /> IJ'P�i�pp::i � .. _ . <br /> �3 <br /> +FSYJ�. .. �Y ti 4.a � '�'�'���_..2'qECa 1�q .ti.,,�- $`. <br /> '. �fzy i��` . �`��,*?�� � �o ` z . .1 `��,T�. '''+ '�s't�S <br /> > x �� <br /> ' : k '�.td:�4. � x84 ��.;�.. �,::� Jr ogs <br /> ��- x, . A � `7� �: � 5i { h � ♦ y �e y -n <br /> 5 is. ° `-ti+ <br />
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