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Date •• March 17, 1986 „e,ew.,Perna. ��-490 <br /> Application For -tlp Dom <br /> PUBLIC WORKS PERMIT PutK Fee tal S <br /> Loss AAA Fe.Pmr S <br /> Print or Type Only a.vu.n. a ithi2[) <br /> STEVE S. AND GAIL M. GAUTESTAD, 1532 GRAND AVENUE, EVERETT 98201 258-3191 442-3433 (days) <br /> Owner Mailing Address City Zip Phone <br /> Sate <br /> Applicant Maiing Address City Zip Phone <br /> Describe Proposed Work Proposed building of fence Der attached drawing. <br /> L <br /> Project Address(if knoam) lia2411101111146.4e. Everett. FA 98201 <br /> Attach four(4)copies of plans for proposed wort.-Draw to scale and note the following as aynlicablee <br /> •Property Lines •Centerline of street <br /> •Outline and Cinansiora of all existing and •Indicate North <br /> proposed sitrckeee on'Sre lot •Show any proposed grading dosages <br /> •Existing and p•oposSd ubildes •Show measurements <br /> Aar <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS <br /> 1.All cats for inspection shall be made 21 hrs in advance-phone 259.8815. NM)2.Ath• <br /> work ale current be performed in accordance wth this permit and City of Everett Design and Construction <br /> Standards and Specifications <br /> 3.Call Location Underground Service 48 hrs F'•xe,ou dip TOLL FREE NUMBER 1-800-4244555. <br /> "fir <br /> 7.:• <br /> A.CKNGP+LEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm <br /> • less the City of Everett from any and all claims for damages,casta <br /> expenses,or causes of action that may e•iae because of installation <br /> and maintenance of the grew 10 or other right-di-way use'r�reto <br /> Date Cityapplied <br /> an for and further agrees to remove. • upon <br /> f one ion City and to r Tj <br /> Atte <br /> Fl INS ON Date •�.r / �j� 4.10/Ajt f- <br /> Appro..ed as Constructed 5• - �••1 •:to <br /> AUTHO'0BY THIS PERMIT MUST BE STARTED WITHIN <br /> U PUBLIC WORKS DEPARTMENT ttiTTT***��iTTT***��. rAYS OF DATE PERMIT IS ISSUED MD THEREAFTER IS TO <br /> 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETK:N.THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> J Phone:259-8815 PROJECT OVER 90 DAYS DURATION <br />