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613 109TH PL SE 2016-01-01 MF Import
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613 109TH PL SE 2016-01-01 MF Import
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Last modified
4/14/2017 4:48:05 PM
Creation date
4/14/2017 4:47:58 PM
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Template:
Address Document
Street Name
109TH PL SE
Street Number
613
Imported From Microfiche
Yes
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/ <br /> ���� '�""°'b"F" 7/2B/98 <br /> PUBLIC WORKS PERMIT Date_ <br /> PUBLIC WORKS DEPAHTMENT Publk Work6 Permlt� .�ZJZ <br /> 3200 Cedar�treat <br /> Evaratt,WA 98201 259-8810�rr 6 �,�Q Bulldlnp PertnN 1 59640 <br /> TYPEORPRINTONLY TO POSTING ����*�F�=_�� <br /> anvENTUAE cONSTRUCTI�N 22928 57TN AVE SE WOODINVILLE 98072 425-486-7395 _ <br /> Ovmer Mallinp Addrese CMy Zlp Phone <br /> Appllrant Malllnp Address Clty 21p Phone <br /> Describe Proposed Work NEW HOUSE — BASIC 2005 � <br /> � <br /> � <br /> � <br /> PROJECT ADDRESS Qt known) 613 109TH PL SE LOT 3 SHORT PLAT 32-94 � <br /> Atlech four(4�cop!as of plans lor proposed wnrk� Mew to scale and nota the lolbwing H rpplkeble: O <br /> 'Pro�xrty Llnes Ylutline and dimenalone ol alt exlsling and pmposed etructuras rn ihe bt •Exlating and pmposnd ulilfllee <br /> 'Centerlina ot sireet 'Indlcate North 5how eny pmposM predlnp chenpes 'Show meaeurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1 All calls tor Inspection shall bo made 24 hours in advance -phone 259-881 C. O <br /> 2.All work shall be performed in accordance with this psrmit end current City of Everutt Design end <br /> Construction Standards ano Specificatlons. <br /> 3.Call Locatlon Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-900-424-6666. � <br /> Q' "� � ^'�`o� ,S I�ai 1 I G��f�q2� !�t S�✓n+ y <br /> �� .57�'� P1yDJ,dCl� � Iv'f; (�8_19-Sf� 9:Sii:;h O <br /> �- It 59�4�� <br /> F'UJLD 931.�5 /� <br /> F'i_UMB 84.fi0 M� <br /> '�fH 60.Gv <br /> :(iC�+G 4..� <br /> f:n1VE �G,i� <br /> �I S8:% <br /> WhTFF 130.��G <br /> U 3:t,ti <br /> SEWER iG.`�: <br /> UT1I.ITY 7256. ' <br /> TOTA�_ ��''E.7� <br /> CFii:,l: ';:�95.'�" <br /> 9 ✓ " . �'�` <br /> 3 ACKNOWLEDOEMENT OF CONDITION£ <br /> J , / The underniqned owner/eppllcant hereby epreea to hold a�d mvs hartnless <br /> Mthe Ctty of Evered Irom eny end all cla�ms fa damepea,costs,eKpenees,a <br /> Approve la Construclbn ete �aueea o1 actbn that may erlse because of Irutellatbn and melntenence M <br /> the Improvamant a othx ripht-W-wey use herato applled/a end IuAMir aqreee <br /> 2 �� � lo remove eama upo� notke fmm iM Clty eM lo repleca publk prt�peAy <br /> GJ /-/4-9`I damaged thereby. <br /> FINAL INSPECTION fnte <br /> Approved ae Construcled Q'�]_ C��) <br /> , �� d /T /Q <br /> . net IApplkent Dete <br /> WORK AUTNORIZED BY THIS PERMIT MIIS i BE STAHTED WITHIN 180 DAYS OF DATE PERMR IS ISSUED ANO THEREAFTER 13 TO BE DILIOENTLV PURSUED TO <br /> COMPLEfION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY 3TOPPAOE OF WORK ON THIS PROJECT OVER 90 DAYS DUMTION. <br />
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