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10130 1ST DR SE 2016-01-01 MF Import
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10130 1ST DR SE 2016-01-01 MF Import
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Last modified
3/7/2017 6:40:14 PM
Creation date
3/7/2017 6:40:11 PM
Metadata
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Template:
Address Document
Street Name
1ST DR SE
Street Number
10130
Imported From Microfiche
Yes
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oa�a�9s TO POSTING_ Z1__. a?�1� o�e,�.wa,..�.,m,. � zes� <br /> nou�icaticn For e�ea o.o�• <br /> PUBLIC WORKS PERMIT '°^:�:��:"° . — <br /> �....�w,�.�•.,a s�— <br /> e.�. .m. f .�SO <br /> = <br /> Print or Type Only <br /> �n �1 5 ��r�F�_ � �I 9�0 �� 'f��Se's9 <br /> 70uGEl� ���6 Z � � j� A�ep �uu� . <br /> Ownci MailingAtlaiess C�Iy Zip Phone <br /> �1 �� �� /� 11 <br /> NS c.��^T.� <br /> Ap0licant MaJingAaAress C�ty Zip Phone <br /> D—esrcr�iDa�P��o�OOFedWork �li�,� '���FDI ���VE.y�GI' W � �'1 OI.IC �'IAti7M0lP� <br /> _J_.rlrrr �� �� ( " �{ S�wev I i�r �Us �� `r� e � � uF <br /> W <br /> Pmiect Addiess lil knowry �fG�����j �OZ�z �Jn� �D�>O/ — �=r�A�. �L�- � <br /> / <br /> Attac�lour 141 co0�e5 0l O�ans loi pi000�ud wurk�Oraw�o scale nnel note Ine lollowing ns apV��cable: �� <br /> •Pioperry Lines •Geme�line cl slmel /A <br /> •Outlmo and Jimensions ol all e�rsimg and •Indicale No�t� V� <br /> pio0osud slmcW res on I�o lot •Show eny nr000sed gratliny cnanges <br /> •Enshng an0 pioposetl ulililles •Snow metsurmnen�s M <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PEHMIT CONDITIONS <br /> 1.All calls lor insoection s�all0e metle 24 hrs.in aCvance�phone 259•8810. � <br /> 2.All work ehall be petlormed In accordence wit�Uis�ermit enG current Gty al Everett Design eM Conslruction <br /> SlenCerEs end Specilicelions. <br /> 9.CaIILocntionUnEerpmunCServiceaBNsbebreyoutlig.TOLLFXEENUMBEfl1•800�424•5555. � <br /> 1� !•�e,� To BE Da•ul• �'2 AF�,Fu✓!D lR��/ O <br /> �/9TE0 �,pg.f.� ���y�y nr,��,�hc��/ <br /> u,u� ���z ,C�arn�_ z� .T._ �1:, ,/n c/:���/� Y-« -Ys V� <br /> O <br /> a <br /> FCKIJOWLE(IGCIdFNT Of CONDII�ONS <br /> lOr un�riv9neC ox�neVapphcanl M1ewby ag�ees�o�o�d and savc harm� <br /> -- � Irss Ihe Gly ol EvC�flt bOm any and all ciaims fa tldmapes. Co5�5. <br /> � r�penses. or causes o�acbon t�al may anse because ol in5lellaircn <br /> / antl ma�nlenance ol Ihe imOrovement ai ol�e� nphPol�way use�erelo <br /> >� =� � C� �y � appbed lor ane Witner agrees to remove same upon notice Irom Ina <br /> Anp�ov�Co m�- . ��� C�ly antl�o rep�ace ou ¢p�ooerty JamaBetl Urereby <br /> /!� %/�.�'yZ��iJ <br /> y` L/ D te <br /> FI A INS E 71GW � SiBn meolAO ���^� �ale <br /> Aoorovotl as Gonstr.¢tee <br /> PUBLICWORKSOEPARTMENT N'O AUTHORIZCJ B TIIIS PERMIT MUST BE STARTEO WIININ <br /> 180 DPVS OF DA1E PERMIi IS ISSUED AN� TMEREAFTER IS TO <br /> 3POOGeOar Slreel BE�ILIGENTLV PURSUED TO COMPLETION.THIS PERMIT MAV BE <br /> Evaml�,WF 90201 CANLE�LED BY THE CITY UPON ANY STOPPA(iE Or W ORK ON THIS <br /> Pnone�.t5B�8810 pqpJECT OVER 90 DRYS DUPATION. <br />
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