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ApplicationFa <br />PUBLIC WORRKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />TYPE OR PRINT ONLY TO POSTING �"------ <br />Date <br />6/30/98 <br />Public Works Permit M 7 <br />Building Permit N _ 59342 <br />Public Works Fee $ <br />3S= <br />FIRST HERITAGE SANK 167 LINCOLN SNOHOMISH WA 98290 <br />Owner Mailing Address City Zip Phone <br />CONTACT: TOM ROCHON 425-259-0868 <br />Applicant Mailing Address city Zip Phone <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />— CHANGE PARKING <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: <br />•Property Uner 'Outline and dimensions of all existing and proposed structures on the lot 'Existing and proposed utilities <br />'Centreline of street 9ndica-- North Show any proposed grading changes "Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 14X*-424-5555. <br />CrJonE 10 Ae ooeve pe n�✓��PLo0-7 <br />d� cl ]- /3- $ 19 '/ 48 r:lwAfi <br />C%/ 4�7a c c� 59342 <br />GUILD 2131.25 <br />5RCHO 4.50 <br />DRIVE 35.00 <br />TOIAL 2170.75 <br />A OM7150 <br />W <br />H <br />co <br />0 <br />00) <br />0 <br />0 <br />a <br />CHEF: 2170.-`. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City or Evcetl from any dnd all claims for damages, costs, expenses, or <br />causes of actior, that may arise because of Installation and maintenance of <br />the improvement or othtf right-of-way use hereto applied for and further agrees <br />to remove same upon iotice from the City and to replace public property <br />damaged therebn A� <br />W <br />Signatu of )$Wplicanr ate <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />