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2623 101ST ST SE 2016-01-01 MF Import
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2623 101ST ST SE 2016-01-01 MF Import
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Last modified
4/18/2017 3:48:00 AM
Creation date
4/14/2017 10:57:57 AM
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Template:
Address Document
Street Name
101ST ST SE
Street Number
2623
Imported From Microfiche
Yes
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G � Zo28-5 /�Q� � <br />Date �-� s-93 PoOuc Worw� Permil �__ /)/�'�'r_ <br />Application For ei� o.W . ��T4/;�D <br />PUBLIC WORKS PERMIT �?�-�,�3 P°�To��IiseF� � - <br />Print or Type Oniy <br />Haneon Homee <br />owner <br />Atldres� <br />TO POSTING �°���oo�feeP��ei��_ <br />.� e.a���o�« s� <br />CitY Lp <br />OWR2i <br />Applicpnt Meilin9 4ddress Clty Lp Phona <br />Deecribe Propoeed Work <br />Pro�ecl AtlCresa �il Mnown) <br />Altech four (4) coples of plana lor proposed work � Dr9w �0 9cale and nole t�e following es epphcable�. <br />• Propertv � �nes <br />• Outline �no dimenalona ot all er'etlnp and <br />propoced ntructures on Ihe bt <br />• Exleting erd proposed utllltiee <br />• Canlerline ol elreel <br />• Indicale Norih <br />• Show eny proposed gradinp che�gas <br />• Show meesuramenta <br />PERMII' CONDITIONS <br />7. All cella lor Inapection ehell be mede 24 hrs. In edvence • phona 269•88i 0. <br />2. All work shell be pe�formad In ecco,dence wllh thie permil and current Clly ol Everall Deelpn end Conetruclion <br />9tenderde end Specificatione. <br />3. Cell Locetlon UnderprounA 3ervice 48 hro. before you diB. TOLL FRFE NUMBEN 1•800�4i4•6585. <br />4. Inetall rock conetruction entrence behind driveway ae per city <br />etendard f120B end eroaloT� contro) ae directed by Public Worke <br />Inepector. <br />6. Keep city etreete cleen st ell ticiea <br />8. Qu�b gutter and eidewalk in the pint are new and undenaged, <br />any demage thereto ahall be replaced nt the diecretion of the <br />Public Worke Inepactor. <br />7. Any chenge in the driveway cut muet be apprwed by the PW In- <br />epector, width nt prop line limited to ealeting aprcn width. <br />B. Connect all roof, yard and driveway drnins to eieee-.ire4n <br />. In�r l�rH b�� tv�aach . <br />9. Ad,juet Wnter boaee to Etrade at end of conetruction. <br />10. Driverinye ehall be comF�letely cured before driving on them. <br />� � I /GS7L�� <br />�PUBLIC WORKS DEPARTMENT <br />G200 Ceder9lrent <br />Everell, WA 98201 <br />Phone:259�8B10 <br />ACKNOWLEDOEMENT OF CONDITIONS <br />11 <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersignad owner/epplicant hereby eprees to hoitl and snve harm� <br />less Ihe Cily ol Everett Irom eny and all claima fur damages. coets. <br />e�penses. or causea o� eclion ihel mey eriee boca iee ol lnslellalion <br />and maintenence ol the Imprqvement or other rlght-uf�wu� use herelo <br />epplied for end lurther agrees fo remove eenie upon nolice Irom Ihe <br />Ci,y nnd to replace Oubhc prope�ty demeged thareby. <br />of <br />Dele <br />WOFK AUTHORIZED BY THIS PERMIi MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMfi IS ISSUED AND THEREAFTER iS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BF <br />CANCELLED BV THE CITV UPON ANY STOPPAGE OF WOFK ON THIS <br />PROJECT OVER 90 DAVS DURATION. <br />
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