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11902 10TH DR SE 2016-01-01 MF Import
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11902 10TH DR SE 2016-01-01 MF Import
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Last modified
4/3/2017 7:39:51 AM
Creation date
4/3/2017 7:39:50 AM
Metadata
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Template:
Address Document
Street Name
10TH DR SE
Street Number
11902
Imported From Microfiche
Yes
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: ir. � .ili'. <br /> Da�e _. . _ . . . <br /> .. ez r RK C 4_' 1,t'I,'?,`-I',.'.' <br /> ���+����/�::���w •�!_�..'.-:'F���'1! ��:�� PubiicWorksPermil# - <br /> —; ����nr�i�r � ��i���, <br /> Building Permit# <br /> PUBLIC WORK8�l7EP+P,R7M�NT��, planning Relerence�v <br /> 3?00 Cedar'Street <br /> Evr,re��,W�98201,. JL�, i.�� Pwlic Works Fee S .-_ . ,�:�i <br /> (425)257-6810'J� <br /> �l `��._'J_UU Guarantee 5 <br /> :',I':��i �`�.U�I _ - --� <br /> OWNER NAME AFPLICANT NAME <br /> AMJADDRESS: ,T]J�.;O INVESTI'L:NTS ANDADDFESS: !�y]}lF,;.. <br /> PO E�Y. 130q <br /> h1A�YSVZLLE �A 1+E?7i: �, <br /> PHONE: []�S:�JeOS9G PHONE: <br /> --'_ _____ . � <br /> TAX PARCELI.D.# PROJECTADDRESS: I <br /> --- "u i�� tr�TH r�F °_ ---. <br /> DESGRIPTION OF 7 ,�--� - ��_�.II'^,' �'i ili7'117) � <br /> PFOPOSEDWORK: DF:ZVEWAY UFF 1,-� _!- Y_, .._ . . `� ' - <br /> IStJ�PEt'T E;;ISTT'i�_ �� _ ._ ---- ----- ------ <br /> PERMIT CONDI'iONS <br /> 1. All calls(or inspection shall be made 2a ho� s in advance. <br /> 2. All work shall be performed in accordance with this pennit and currenl City of Everett Design and Constructior� <br /> Sta�dards and Specifications. � <br /> 3. Call Location Underground Service 48 hrs. before you dig.TOLL FREE NUMBEP, ;-900-424-5555 � <br /> driti• w �. <br /> i-' ::rJC�? lIIrPil.^.F la9_ :�r r;,._ � �y '_"_1L:: (L3`i1?C ".':3!1 ... _ '.:!'._ _ '_' c -- '_ � <br /> . . .. : I",:�'.;-.:? ICOIf. u:(18L�:�r1 e,1�1=' =�r L'03ClWe}� tir �:�L'OF1.�Ciy ZlllE'. � <br /> . . . . . .. . .:.... . .. . .. .. . ... __.' r�,n_�. :.-. "_c • _ ", <br /> , . . _ . .._ _ . .. . .. .. . . . <br /> � <br /> � <br /> Z <br /> O <br /> � <br /> � <br /> O <br /> a <br />( <br /> -- -- — --—- ACKNOWLEDGEMENT Or CONDITIONS <br /> The undersigned ownerlapplicanl hereby agrees to hold and <br /> �� ���j� /J Z�2 z� G,�> save harmless the Ciry ol Everett from any and all claims br <br /> ����� dam: �es,cosls,expenses,or causes of action ihai may arise <br /> pppr ed lor Constmction Date beca��e ol installalion and maintenance oi the improvement or <br /> i �/ �� �, �/J / other right-obway use hereto appl' lor and lurther agrees to <br /> � �l C�t;�.-�i,_ C,E�i`�-f�-l.l.=- remove same-t�pon notice Irom Ihe Iry and�o replace pub'c <br /> , 2� ����. �jj � � <br /> FlNAL INSPECTION �' —�--K n ._p o �rty damage�l�hereby. ^ <br /> Appmve0 as Coi slmcled Dale � t' : � �J- D <br /> L.._ � . C� <br /> __ _ __ Si aNi�ofA pfc nt Oale <br /> 4'�ORK AUTHORIZED BY THIS P[RMIT MUS�BG STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED�IND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> 10 COGIPLETIGN THIS PEFMIT MAY BE CANCELLED�Y THE CITY UPON ANV STOPPAGE Of l"JORK ON TH18 PH.".JECT OVER 90 DAYS DURATION. <br /> DATADAP,INC. <br /> I i ,.r i.....i <br /> - � <br />
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