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4101 RUCKER AVE CHEVRON 2018-01-02 MF Import
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4101 RUCKER AVE CHEVRON 2018-01-02 MF Import
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Last modified
3/4/2022 9:23:05 AM
Creation date
3/9/2017 12:28:46 AM
Metadata
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Template:
Address Document
Street Name
RUCKER AVE
Street Number
4101
Tenant Name
CHEVRON
Imported From Microfiche
Yes
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OL PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 98201 259-8810 <br />TO POSTING MAY t ` <br />TYPE OR PRINT ONLY <br />Dale1-27-97 <br />Public Workl Permit a _ 060 <br />BuikWV Permit • 54070 <br />we <br />Public Fee: //f/0 <br />nlir,., qL :;/0,760 <br />Ronald May Estate 720 132nd St SE #203 Everett WA 98204 742-5159 <br />Owner Mailing Address City Zip Phone <br />S 6 S Design Edward <br />742-4944 <br />Describe Proposed Work BEC Petroleum convenience store W <br />PROJECT ADDRESS (if known) m <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: O <br />aProperty Lines `Outline proposed and dimensions of all existing and prosed structures on the lot 'Existing and proposed utilities <br />aCenterline of street a;ndicate North •Show any proposed grading changes 'Show measurements <br />00) <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. O <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-WO-424-55515• <br />OF avrd�l2n caE,� .31z1`I7 <br />a <br />06/03/97 4=26PM DODNM149 <br />N00054M <br />U BLDc u074.87 <br />SRCtRG $4.50 <br />WATER s6D.01) <br />R0003117T3 <br />sM $70.013 <br />W OD970M <br />ACKNOWLEOF NS <br />J The undersigned ownertappli a• Id and save harmless <br />J the City of Everett from any arA W(a$tllilra *11k11111116ab• costs, expenses, or <br />causes of action that may ad EWus a� and maintenance of <br />for Co t Dat the improvement crotherright wayuse hereto forandka8reragrees <br />to remove same upon notice from the City and to replace public property <br />`a -..Ao -'P� 7 damaged thereby. <br />Approved as Constructed <br />�LE ON. AUTHORIZED <br />TH S PERMIT MAYPERMIT <br />CANCELLED BY STARTED WITHIN <br />CITTYIUPON ANY STOPPAGE OFPERMIT <br />WORK ON THIS PROJECT o�VER 90 DAYS W RATION.Y PURSUED TO <br />
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