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Date 10-08-91 PuElic Worki Perml�• <br /> eiac.oeo�.. 91/27906 <br /> Application For <br /> PUBLIC WOPKS PERMIT PUDTo�FeeFee � <br /> Les�l�ou�.Fee PeiC s <br /> Ba�ance Oue S <br /> Print or Type Only <br /> Everett Housing Authority 1401 Poplar Everett 98201 258-9222 <br /> Owner Meiling Address City Zip Phone <br /> Finlev Architects 2911 Bond St Everett 98201 25A-6971 #3379 Paul liooghkirk <br /> Applicant Mailing Address City Zip Phone <br /> Deecribe Proposed Work �tchen modernization <br /> LL <br /> Pro�ectAddresslifknown) 3020 Broadwa�� - existin housi.n tower � <br /> Attach four(4�copies of plans tor proposed work• Draw to scale and note the foi�owing as applicable: S <br /> • Property Lines • Centerline of streel � <br /> • Outline and dimensions of ali ezisting and • Indicate North . <br /> proposed structures on the Iot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements � <br /> , DO NOT WRITE BELOW THIS LINE � <br /> � PERMITCONDITIONS � <br /> i 1.All calls tor inspection sha�l be mada 24 hrs.in advance•phone 259-8810. <br /> 2.All work shell be pertormed in accordance with this permit and airrent City of Everett Oeslgn and Construdion � <br /> Standards and Specifications. . <br /> 3.Cal�Location Underground Service 48 hra before you dig.TOLL FREE NUMBER 1-800�424•5555. � <br /> i �.� U-L=�-c L:. - �_�'�- �.,";✓:- ...� ��/ /�'-'�:.� _, r �.c.� � <br /> /o �`�- %'/ ♦�� <br /> V. <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm <br /> less the Ci�y ol Everell irom any and all claims for damages, coste <br /> expenses, or causes ol action that may arise because of installatio <br /> ana maintenance of lhe improvement or olher right-o4way use hereL <br /> applied for and further agrees to remove ,ame upon notice irom th. <br /> Approved tor Construction Date City and to replace public property damaged thereby. <br /> FINAL INSPECTION �a�e Date <br /> ApProved as Constructed Signature ol Applicant <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHI� <br /> � I'UBLICWORKSOEPARTMENT 780 DAYS OF DATE PERMIT IS ISSUED AND THEFEAFTER IS T( <br /> 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY 8t <br /> Everett,WA 98207 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THI; <br /> Phone:259-B810 PROJECT OVER 90 DAYS DURATION. <br />