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9900 12TH AVE W 2018-01-01 MF Import
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9900 12TH AVE W 2018-01-01 MF Import
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Last modified
12/3/2019 1:40:48 PM
Creation date
4/4/2017 8:35:15 AM
Metadata
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Template:
Address Document
Street Name
12TH AVE W
Street Number
9900
Imported From Microfiche
Yes
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i� <br /> r y � � <br /> � � <br /> yMH <br /> �4" ^ H <br /> 9yCn <br /> � <br /> H � H ,, � , <br /> oxo Dafe2/22LE9 �,.� �v,�,sF.,����. _c��f/-(��'y_ <br /> �'i1 H �1 einn o�.oi . __.. <br /> y V1 N APPlicanon For _ __ _ _'_ <br /> ry <br /> �o � PUB�.lL VI/OEtKS PERMIT ��°��°w°^s`�� �= - <br /> y e �o�.�F�� s -�-- <br /> "O.h O �.,ss anw F..e vai� S�,�—_. <br /> N �, g �,.,�.,,,-,.o�„ 5 ses— <br /> II H� . Print or Type Only TO POSTING _____Z�-v�_ - ---- <br /> zH � <br /> I� � H H 4�aldrn Ponu Equities L.P. ? 2370 [d.E. bth , R200 Bellevue, 4]a. 98005 (206)455-5056 <br /> m <br /> �--i Owner id'dilin9 AAdress Cdy Lp Phane <br /> C'] b f/: <br /> � First 9estern Equities i2320 LI.E. 8th , N200 Bellevne, �9a. 98005 ( 206) 455-5056 <br /> I � r ; <br /> r� <br /> I z H V1 qpphr,ant Mailmy Address Ci�y Zip Phone <br /> ir <br /> h� Q i/� <br /> Desr.ri6e Proposed Work �xX�dincLPernit _ _ � <br />'� _ �rosion Control Permit __ _ __ <br /> i — — <br />� — � <br /> j a�oicc�ndar�ssaiknown� N•�• corner 100th St. S.W. & 12th Ave. 47. _ _ � <br /> Attach four 141 ropies of plans b�propased work� D�a�v lo scale antl note Ihe following as applicable: � <br /> • Properly Lnes • Cenlcdine of slreet �^ <br /> I�� 1/ putli ie and Jlmensions ol a:l er;sting and ! Indicate Norih �d <br />! proposetl strucWres on ihe�ol • Show any propo5etl grFltliny chanyes <br /> • Exis;in9 and p�oposeA uti�ties Y Show measurements �y� <br /> a� raa <br /> I� ��� —�� DONOTWRIT[ BELOW!HISLWE � <br />�i PERMIT CON�ITIONS <br /> '..' 1.All calls lor inspeclion shall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.Ail uork:hall be pertormed in accordance with this permit and current Ciry o'Eveiett Desiyn and Construction <br />! � Standards and Specifications. <br /> l i � 3.Call Location Underground Service 48 hrs.belore you dig.TOLL FREE NUMBER 1•SOO•424•5555. � <br /> I' �. �--QY' �J�/����^"t c�j?/�S rfu�� � _/�'Gi''7 � <br />; 1 1 ��J / [/ <br /> 'a� v� . /I.L� /l/< Y'V �ji',:.. (•//2��r�yc--� � GL�'/ �7tC� � <br /> I ' � <br /> I e�� ' os;i�;-s9 io:�,zFln �ooa�s�Eo �� <br />, ( b0U�2091E � <br />�� 1 � DFT.2Q 8585.G0 � <br />' �'� CHECt; 5505.00 <br />�I �� <br /> �m <br /> I sf ACKNOW'LED^uEMENTOFCONCITIONS <br /> �a Tha cndereigr.ed owner/applicant hereby agrees�o hold and save'�:��m� <br /> — less ihe City of Everett from any and ail claims for damaaes. cosls, <br /> ` �- �y/ �., / expenSeS.�,%Ca 505 of ac�ion tha� mdy arise beCause of inS�L!idtion <br />, / � �f� and mainlenan ol lhe i7ipro m nt or other righFof�wa use here�o <br /> /�- '"� appl�ed or � lurthe�,��� '�emove sama�S�r����rom Ihe <br /> APW ved�or �c:ryU• ction Date Ciry 'm ef1�X y Pdb1 p U �Y�n3ged ih=r y. . <br /> /�/�� �^ .�" ' '�//�� � ^ �'7 --�-7 F, <br />� FINA INSf' CTION �� �� /'?`_-_>____Lf ( p,� � _ / l __. !-' C�C — o � <br /> AUProved as Constructed � Si9 atuie I Ff(,Plicant Date <br /> WORK AUTHORIZED BY THIS PEFlMIT MUST BE STAPTh� WITHIN <br />' everett PUBLICWORKSDEPARTMENT 1g0 DAYS OF DATE PERMIT IS I�SUED AND THEREAFTER IS TO <br /> � 3200CetlarStreet BE DII_IGENTLV PURSUED i0 COMPLFTION. 7HIS PERMIT htAY B[ <br /> EverelL VJA99201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF 6NORK ON THIS <br /> Phone:259�7810 I PROJFCT OVLF 90 DAYS DUi7AT10N. <br />
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