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3430 SEVENICH DR 2018-01-02 MF Import
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3430 SEVENICH DR 2018-01-02 MF Import
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Last modified
9/22/2022 1:47:00 PM
Creation date
3/9/2017 5:45:31 AM
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Address Document
Street Name
SEVENICH DR
Street Number
3430
Imported From Microfiche
Yes
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Application For <br /> 4,.77. <br /> PUBLIC WORKS PERMIT Date <br /> PUBLIC WORKS DEPARTMENT Public Works Permit# '12 <br /> 3200 Cedar Street ! <br /> Everett,WA 98201 259-8810 <br /> Building Permit# <br /> TYPE OR PRINT ONLY Public Works Fee$ _ <br /> AV CIc ``g.. , SSI 3 30 se ,t.ti ",- 6/tic—al 20 I . ., --3il? <br /> Owner Mailing Address City Zip Phone <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed:Work}'v.f i-e 'ti"". '- " ,,_ e.,I/-fcre--- pv-", <br /> W <br /> w°' c . earn r '.- ., I gr , , , ,-7'-i c.i ►01 1 ---- - Immi <br /> - <br /> € `_ uv 'i - , /1A— e.,c fir-- - 7r^ t _ - Pew , 7'%r, a..: <br /> PROJECT ADDRESS(if known) 3a --1' 1' <br /> CCI <br /> Attach four(4)copies of plans for proposed work_Draw to scale and note the following if applicable: <br /> •Property Lines 'Outline and dimensions of all existing and proposed structures on the lot 'Existing and proposed utilities 0 <br /> 'Centerline of street 'Indicate North 'Show any proposed grading changes 'Show measurements <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. <br /> 2.All work shall be performed in accordance with this permit and current City of.Everett Design and O <br /> Construction Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER t-800=424-5555. <br /> r . "f 5 pe v'" 71,29vvuepf? 0 dtd 4 z/cr t <br /> .fie P D Li 1 - rzi S ,e:i-7 c? e l 0 t` e. S i'i sec+` 0 <br /> 1 /1s14 Cl. <br /> 04- 8-99 2a0fl''°r4 <br /> tr98097 <br /> (y i:!HER 20,00 <br /> 00 <br /> f ACKNOWLEDGEMENT CONDI IOI S . <br /> ( The undersigned owner/applicant hereby glees to h 'I rffd' a e hae i bb <br /> f• ° the City of Everett from any and all udhi sf•fbtt"amages,costs,expenses,or <br /> Approved for Construction Date r <br /> i ,.., causes of action that may arise because of installation.and maintenance of <br /> the improvement or other right-of-way use hereto applied for and further agrees <br /> to remov ame upon notice from the City and to replace public property <br /> dam a thereby - <br /> FINAL INSPECTION Date ' i it / �/ <br /> Approved as Constructed f i _____ . / .- r5 <br /> < <br /> Si ature of A plicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO • <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />
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