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6218 2ND DR SE 2016-01-01 MF Import
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6218 2ND DR SE 2016-01-01 MF Import
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Last modified
3/7/2017 9:03:56 PM
Creation date
3/7/2017 9:03:51 PM
Metadata
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Template:
Address Document
Street Name
2ND DR SE
Street Number
6218
Imported From Microfiche
Yes
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�/s�c� <br /> r�o��c wo��s cer � <br /> �-�l % ` <br /> Cate~� � e�eaDem.s�=��'�=' <br /> AU�'��ca�ion Por (' <br /> P E R 11i1 I•1 r�nim worvs r.e 5—_ <br /> PUBUC WORKS �°��"°P ____ <br /> ,�=z�������P.,� s <br /> H <br /> O <br /> S C"'7 0.,�,,��,,o„� S------- <br /> A a x Print or Type Only <br /> H j r� n ,�/_ <br /> a.3v, y �� �(>�-� (�'X-�,_(_ 1` �� I 9�� �C �7, � ��,'�s:-�� <br /> H93 � .,ci�j� �� �� �/����'�.l � t LI� Phnne <br /> 1? 2.H ( Gity Lp <br /> �C a� Owner rr:�i���9 Address <br /> O SC - <br /> `?7 H'iJ Zip PhOne <br /> A�H -- City .. <br /> APPIie2n1 Myiling Addresr. <br /> � o� ��,�"� ��o � �( FUC ����-L2`=�,. . <br /> ��i�F� <br /> D�•sr.ribe Proposed Work i,J <br /> � �g _ - -- <br /> �� � -- ' t ' <br /> 9 H� ---._. -- W <br /> C, ~� � <br /> cn Z t_p - Z,� i� De_�� - - _ <br /> �"� proiec�Address 1�1 knownl �=—_ -- <br /> � CO V1 � li ilovim9�s aP�liCablr,: � _ <br /> � [r�� Alla:h lour(4)eOPies ol Plans lor proPosetl woik� D����-t.i +�-�+��• ;u,�f ^��I°�C„n�enme ol sUe!�1 � <br /> z y� • Properly Lines � �nd"�.ate Norih <br /> y O� • OU�I�ne and tlimen5ion5 OI all Cr�5linp nrrl • Sho:•:d�ry PropOsed qr:tdii�S) tliinqrs <br /> proposetf siniclures on ihe�'�o' • S'�ov. mo.�sur�+ments M <br /> • Ezisting ;mn woaosed ub�.�ins i�Y <br /> DO N01 WRRF NFLOPJ iH15 "HE � <br /> PENMITCONDITIO'�5 � <br /> 1.All G�IIs lOr ms{�.cChv��'..'�JII Ce medr.�4 1 r5 in advJnre�phOne�S9•.}8�� <br /> L �II work shall be pertormed in�ccoid�nt'c� C�lhis pennd and curtonl C�PI��'Lvui�',�Des�n��������Cons;nic:ion <br /> �'�� ^' Slandards and SpecillcaUons. � <br /> �o� 3.Gall�ocation Underg�ound Service 48 vs.hebre you dig TOLL FREE NUMBER 1•800-424•555 . <br /> `-• � 4.NNY CHANGS IN THE DRIVI'iWAY CUT !R)ST BS AppROVSD O <br /> 't�Y THS PUBLIC WORKS INSP6CTOR. � <br /> S.CONNHCT D�W}`SPOUTS TO PUBLIC DRAINAGS SYSTGM. � <br /> 1� I g.KfiSP CITY STREETS CLHAN AT AI,L TIMES. <br /> � � 7•TOYTHHM6ATISFACTIONJOF THH PUBLICLW RRSLDBPTRI?PAIFifiD � <br /> i .t'� �. <br /> �` i AChhOWLEDGGtJl.-NT OF CONDIiIONd <br /> ^[I- Tlw UntlerSignCd OW nCV.IPPIiG�ni hl'rehY�9�BC5�o hold nnd 58vC hnrnr <br /> � �j, <br /> less Ihe Cdy ol Everett fwm any a��tl all clnims fo� dama9es. cos s. <br /> ' '' � expenses o� ciuses ol actlon ihat may a�ise Uecause of installation <br /> �m and mamlenance ol the improvemenl or othcr �i9hPobway usc herelo <br /> ��� (�C�C� _8_�-� 7ti �pphed br and lu�ther a9�ces to �emove sanie upon notice Irom Ihe <br /> Date C�IY and lo repl�ce D����iC p�aP���Y damayed ihereby. <br /> � � ApP�ovetl lor Conslryc�ion h <br /> p,��� � 7_/S'-!/— - -�d,� .3�Z_P�. �� ' - <br /> ./`. <br /> Datc D.�tu <br /> FINAL INSPBCTb�N Si9nalurc al Applicdi�t <br /> f.pnroveA as Consiructed y�Of7K AUTHORIZED �Y TH:S PERMIT M11UST �[ STANTGD N'IiHiW <br /> 0�,�,i,��q� PUBIICWORKSDtPARTMCNT 700 DAYS OF DAT� PERMII� IS ISSUED AN� THEREAFTER iS TO <br /> 3200CedarStreel BE DILIGENTLY PUIaSULD TO COM1IPLETION. THIS P[RId1T �1AY !3[ <br /> Evcrclt.WA9B201 CANCELLED BY t11[CI11' UPON ANY tiTOPPNGF Or 1YONK��N i11IS <br /> phona�.259-�810 PROJECT OVfR BO DGYS DUR�IIUN <br />
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