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4510 5TH DR SE 2016-01-01 MF Import
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4510 5TH DR SE 2016-01-01 MF Import
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Last modified
4/3/2017 10:47:25 AM
Creation date
4/3/2017 10:47:20 AM
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Template:
Address Document
Street Name
5TH DR SE
Street Number
4510
Imported From Microfiche
Yes
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/ <br /> PU�LIC WORKS °��� '��?B%2005 <br /> PER�lT ''�� � � r �,^' ' PublicWorksPermita �'WU50�1-Ob�;' <br /> . _1:i:,(�I_Rl7 U9:4(1 C0509-059 <br /> �tEb-i �����1 '.Fi Building Permit q <br /> CT i <br /> PUBLIC WORKS P RL�AEN'f� F-.. Planning Relerence u <br /> 3200 CedarrSi�et {�� `� l-�"��' <br /> Everett,WA 98201 Public Works Fee S 525.U 0 <br /> �nzs�2s�-aeio RiPu. al.iB4J:� <br /> � � i^; £G,�,) GuaraMcc 5 <br /> rr �i1 <br /> OWNERNAME R d D FAF:K CF2EES LL�� , � APPLICANTNq`� - � <br /> ANDA�DRESS: S FLBI1 ANDADDRESS��I,C�� <br /> �o BUX �zo 1 �.;�l�f_ ��'`'��''� TQ ��ST�N�i <br /> cr,zx�rox wA � �.��, ,-���,,�,� , APR 0 9 200 <br /> PHONE: 3bO.i91QbO4 1 S�GEI' PHONe: 41Q•tl;' <br /> � svs t:;o �i,x�,.a� <br /> TAXPARCELI.D.p ?«.�053ppq�ppiig 1 �,;i{�f�{ PROJECTAD�RE56 !�510 5TA DF�. SE HL6T 11 <br /> - r_ <br /> PROPOSGDWOPK. ••• . . •• CFIF_K ` .�+� �4'i'J.��.j <br /> ��! <br /> ' F.E1�F. SESRCF: PEF: S?TE FL1N. <br /> PERMIT CONDITIONS <br /> +�.a?L5E?:L t FLA^' iUT 11 <br /> 1. All calls br inspection shall b� made 24 hours in advance• phone (425) 257-8610 <br /> 2. All work shall be performed in accordance with this permit and current Ciry of Everetl Design and Conslruction <br /> Standards and Specilicatiuns. <br /> 3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800•424-5555 <br /> `W <br /> 9. f_'�nnect side ;evac pec Citg :itandar�� dr,'•01 �... -- - ' ` - � , -�� � i r <br /> J.� �• __ .,� _.. . _ � <br /> J.�CV�O�CL C�=�ftiJF� downspUllC['. LO C�1e C)Cd1IlB�e 8}�3tE'Ifl E�COYlr?8<� IOC C}113 ibi . � <br /> W <br /> �^ <br /> / <br /> � <br /> O <br /> '�^ <br /> Y/ <br /> I O <br /> a <br /> ACKNOWLEDGEMENT OF CONDiTiONS <br /> _ �� !l � �y ��s Thc undersigned ownedapplicant hereby agrees lo hold and <br /> /_' .� C+a�2� save harmless the Ciry of Everetl frcm any and all claims for <br /> -Appm:ed lor Cons'Irucii0n aie damages,costs,expenses,or causes ol action that may anse <br /> .�? because of installation and maintenance ol the impmvement or <br /> I .� , •-�•� olher righ�-ol-way use hereto applied for and lunher agrees to <br /> r `� `� �-.t_,���':=�� - ` - r 4" remov�s me upon notico rom the City and b replace public <br /> PINAL WSPECTIQ j prope y�r.jag�d re . <br /> Apprcved as ConstmCled Dale` � / <br /> ��� ��/�_C J' <br /> Si�nalwe al Appiicant Dale <br /> WORK AUTMORIZED 8Y THIS PEPMI7 MUST BE STARTED WI7HIN 1d'J ilAYS OF DAIE PL�?'r.:�IS ISSUED ANO THEREAFfER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.7HI5 PERhi1T A1AY BE CANCELLED BY THE CIIY UPON kNY STOPPAGF.OF WJRK ON THIS PROJECT OVER 90 DAV:i UURATION. <br />
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