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4522 5TH DR SE 2016-01-01 MF Import
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4522 5TH DR SE 2016-01-01 MF Import
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Last modified
4/3/2017 10:50:15 AM
Creation date
4/3/2017 10:50:09 AM
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Address Document
Street Name
5TH DR SE
Street Number
4522
Imported From Microfiche
Yes
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PUBLIC WORKS Date O1/1?/2005 <br /> ,- <br /> ' � Public Works Pcrmit R PA0501-015 <br /> ` PERMIT �°5°1—°14 <br /> Building Permit k <br /> PUDLIC WORKS DEPART�dENT Planning Relerence a <br /> 3200 Cedar Sirect <br /> Everett,WA 98201 Public Works Fec 5 5�5 .�� <br /> 2 L�+� 1 �1 100., Guaramce5 <br /> ��� t � <br /> OWNERNAht[ d LC APPLICANTNAMF (}W�j� <br /> ANDAD�R[SS. �U B(!Y. q1O Nt�DADDRE55. <br /> CLINTON Wp y823i5 <br /> PHONE �b039196G9 r�ioraE. <br /> TAXPAHCLLID.p �- �j �9�f)l�� NRar_cTnooFless qr,�� cTA DF SE <br /> DESCRIPTION Of HUU$F' (A-�1 <br /> PROPOSEO WORK <br /> PERMITCONDITIONS ��EF.LY" PI.AT LOT 14 <br /> 1. All calls for inspection shall be made 24 hours in advance• phone (425)257-8810 <br /> 2. All work shall be performed in accordance with Ihis permit and current City ol [verett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> �1. Cr,nnFrr .-,ide sew� per Cit1 itandacd pf01 aftec sewc li-fr :,ra*..ion is CfjN(l1PYPii � <br /> 3I1� ap[�LGVE�. � <br /> 5. Connect iooftop downsppULs to th� cicainahe system peovid-rd foi: this lot. /—/� <br /> V/ <br /> W <br /> t�:J.. —..:."r'. _(i::i :1. ;:3:J.l :.hS O <br /> �{ :.'iCi:1�:i:l!i• � <br /> i=,LJ:I:i...i::+ :l.:l.t:3/r,,:1.:'.; � <br /> s�l�il:;l••I(ii ��• .,''i{i <br /> i11::I::I—i 'i'(? .,CiC) O <br /> i"I...t.li�ff:i, :1.:1Ci .,c)Ci � <br /> f.:�1�2:C�Jf:: :':'..`.5 „ t.?Ci <br /> �{. :_�ti:.Lii;::'.�r � <br /> <:ifi:ialG::l';: "�<:) .,{3G O <br /> IJ'1':i:I...:L'i"f .7.?'i��� „�Jt,) <br /> wn�r�i::a�. ::��:tc:�..�;c� a , <br /> ._�{...C)'T'i�•ll... :3:1.',.`i:' .,�">:`.'i <br /> [;..1�'�i _ = — ; 1 = . . :i i I 1 il9 <br /> �i1 Ui'f1.�rf3Ci <br /> ACKNOWLEDGEMENT OF CONDIT�ONS <br /> The undersigned ownedapplicant hcreby agrees to hold�nA <br /> ' �. � ,� �,�y.+-� ��/�� _ save harmless the City of Everett trom any and all claimr lor <br /> a���ovcv br Consvuci�on Daie/ `^ damages,costs,expenses,or causes ol action that may arise <br /> ._ _ � because of inslallation and maintenance of the impiovemenl or <br /> � � I � other right-of-way use hereto appiied tor and tuAher agrees to <br /> �-�. L i. �`'--����.'�-" ��� / - � '�� remove same upor�nolice Irom ihe Ciry and b replace public <br /> FINAL INSPECTION' � prope amaged thereby. <br /> Apprcver,,;(;�n5liucietl��- ' Oale <br /> /�����_� � 7'-�� <br /> SignaNre ol Appl�canl Date <br /> 'NORK AUTHORIZED BY THIS PERMI7 MUST BE STARTED WI7HIN 190 DAYS OF DATE P[RMIT IS ISSUED AND THEREAF7ER IS 70 BE DILIGENTLY PURSUED <br /> TO COt.7Pl[1 iON THIS PERMIT MAY DE CMJC[LLED PY THE CITY UPON ANV STOPPAG6 OF WORK ON THIS PFOJECT OVER 90 DAYS DURA710N, <br />
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