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712 105TH PL SE 2016-01-01 MF Import
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712 105TH PL SE 2016-01-01 MF Import
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Last modified
4/18/2017 1:40:46 AM
Creation date
4/14/2017 11:27:00 AM
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Template:
Address Document
Street Name
105TH PL SE
Street Number
712
Imported From Microfiche
Yes
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���P _��Cy��S <br />ApPI�cN�inn �or <br />PUBLIC WORKS PERMIT <br />Print or Type On�y <br />�.�,. .. �. �. . .s5�> - �� ' <br />,��n.� o�n� . — ��-J f .is«i-5r <br />Punec Worb fee ___-- _ . . <br />,��.� �,� s --- . _ <br />i�.er anoi rer ann i —/�/7— <br />Pniam'e Du� J �Cr (i' G! <br />%a�G <br />� 1 S I P �I � � yr a 3.� �-�s-1 <br />wnar <br />Meiling AUdress Gly 2ip Phone <br />(: r.r�n��.j-u-i�' �"' �i-�� �� 7/ ��� f�u,o t( 11iULLl_fl�,_.��aef�—_--��— �� <br />Appucan� <br />Mei,� I�InqAddress CdY ZiP Phone <br />I �est;rlbe PropuSed WorM <br />—_ �dT �y IJP�n�c YiQ� 7/iV_�_—_ _---' <br />__—_ �7 7� <br />PiolectAddresslllknown) /�2� ��J � fC.SEr . .._______.___. _. _. __ <br />nne��n inw �4' copie9 u� p�ene lor prn0oaed wo�k � U�nw to sc.de �nd no�e ihe lollowiny es app�i�-.,�b <br />• �roperry Unea • Cenlerline ol =.�rPrt <br />• Ouliine end dimensions nl �li r=�shn9 E�nd • Stow anY n���c��s��d ���nA�nc ,�ianqur. <br />p��PoseA str�clures on Ine Int � <br />•[.isting and p�oposnA utdiues • Show mensaicm������s <br />PERM17 GONDITIONS <br />1 A�I calls lo� inspec�ion shall he mede 24 hrs. m e:vancs � Phenr, 255-8815 <br />7 All work shell be ��edormeA In eccordenee wl'h thla permtl a��A r.urreri Cny o� f v�•���^ [���� � n� ,����f t.���,•.n,�� i.���� <br />StnndarAs entl SVaclhcations. <br />:� cnll locetlon Undarground Service 48 hrs. belorr, yc.0 tli�� TOLL FREE NUMBEN 1-8U0-4B4•5555. <br />:/ �'S;% _':i'�. ' ! - <br />i � <br />� � <br />� ,"�l �: <br />nnnroved for Cons�L�clmn <br />(iNM INS�F'i.`TION \ <br />npi��ov�r,'. a= CnnsirucleA <br />,.��1 PUBLIC WORKS <br />i'�:00 Ct der Slrp� I <br />� r•„���iwn�nan� <br />--- � " �,,.�. <br />�)��, �,.1: .'( ` <br />Z <br />� <br />,:CFYUAV�: D(i! h11.Ni UI CUHUIIION' <br />In� ��na�..a�.in��9owner,'nP0licanlherebYaqreeslohoia.�,,l�a�r���.nn, <br />�- I���ss Ihc G�tY �I Fverett from Bny end ell clelme lo� r.i �� in. �. r...���. <br />eapenses, or r.aueae of ecHon Ihel mPy arlee 6oaau<�� nl ���s�,�u:ib�,�� <br />/�� end mn�nlenence o� �he imp�ovemenl or other rlyhl-ri �•..�, �• ��' �'�'�"t��. <br />��npplled lor enA lurlher egrees lo �amove aeme �oo�� ������, ,� �'^.,, t�`�• <br />Ci1y anA lo repla��e publlc property demnpeA there��v <br />� 3 !BS _������ /fJ"" —� �� , c. �%_ ; � <br />Detel �/-y �. - �j . <br />Si nalure o� Appli �t 1 Uatu <br />WORK AUTHOR D BV THIS PERMIT MU.Si BF STARTEU WIiHIN <br />1A0 DAVS OF DATE PERMIT IS 1;5uF.f7 nr1D 1HFREAFiFR IS Tc.� <br />BE OILIGENTLY PUR5UED TO C� �i-��'I 1 ii �ry I�nS PF17��'�r n,�nv RI <br />CAMC(I i f D flV T IE CITV UPON nrJ�r ' I� rv4�,! ��f Vl� �IU ��e.i �li���. <br />� ���� � ��, � �,�-� r�, nnr�, ��ur��n���� <br />
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