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221 116TH ST SE 2016-01-01 MF Import
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221 116TH ST SE 2016-01-01 MF Import
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Last modified
4/17/2017 12:48:10 PM
Creation date
4/14/2017 9:11:36 PM
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Address Document
Street Name
116TH ST SE
Street Number
221
Imported From Microfiche
Yes
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( <br />Appllydtinn Fw <br />���� Pi1BLIC WORKS PERMIT <br />PUBLI�: WOP.KS DtFi,R?MFNT <br />3200 Cedar Streel <br />Everett, WA 98201 (4°5) 257-BB10 <br />TYPE OR PRINT ONL'/ <br />Owner <br />qpp!itant <br />Oescribe PropoSed Work _ <br />PfiOJECT ADDRESS (ii known) <br />Plnn Chack No: <br />Applicat.Datac <br />Job Addreees <br />owner� <br />Tenents <br />Propoeed Ueas <br />Deec. of Work� <br />ADDITION <br />( <br />oa�� ------ <br />Public Warks Permil A <br />Buildin� Permll x _ <br />Public Works Fee S . <br />C 62850 SEPA <br />06/24/99 <br />221 116Ti1 AVE SE <br />IOOLFORD Y.P.RAY/JACKIS <br />SINOLE FAMILY RE9ID8NCR <br />OFFICE 6ET JOB 96T � <br />APPROVED FOR PHRMITt DATP_/_/_ BY <br />Phone <br />Phone <br />Attech four (4) copies plans lor proposed xrork • Draw to scnle end rate Ihe fUlowing II epplkeble: <br />• Properry Linee • Oulllne end dimensione ol ell existlrg and proposod structurea on the lot • Existing end proposod utillliea <br />_ P....�nAine nI OhI1Hi . Intlieala NoM • Show eny proposed prading chenqes • Show meaeurements <br />DO NOT WRITE BELON! THIS LINE <br />PERMIT CONDITIONS: <br />1. All calls for inspection shelt be made 24 hours in advance - phone (425) 257-BB10 <br />2. All work shall be perlormed in accordance with this pennit end curreN City of Everett Design and <br />Cunstructi�n Stendards end Specificatlons.. <br />3. Cail Location Underground Service 40 h�s. belore yc� dig. TOLL FREE NUMBER 1-800-424-5555. <br />•1!DLIC WORKR �EPM� � <br />IfOT �,p,{1�RE� <br />0 Y ._--- ��V' <br />f�A7F.....__�� I`� — <br />pwve or ns ruc ion e e <br />FINAI INSPECTION <br />ppproved ea Constructed <br />Data <br />W <br />� <br />�� <br />N <br />m <br />O <br />� <br />� <br />� <br />N <br />O <br />a <br />ACKNOWLEDGEMENT OF COPIDITIONS <br />The uMerslgned ownodappiicsnt hereby agrees to hoM arxl seve harmless <br />tlie Ciy ol Evereri Irom eny end all clalins lor damepas, costs, eKpensos, or <br />causes ol ectlon Ihat may adse bacause ol InstallaUon anA maintenance ol lhe <br />improvement or other ripht•ol•way uae hereto applled lor end further epreea to <br />remove same upon notice Irom the Ciry antl lo replece pr,o�k property dem- <br />eged lhereby. <br />igoe ie o p icen a e <br />�OMKp�,ET1pN. TIiIS PEFlMR MAP Y� CANCELIE� Y�11�D CRY UPON M!Y 577PPA(3E OF WCPo( Oh� T}9S PFiQ1ECT�0 ER 90 OAYS DUM710N.v �� <br />
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