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. � � <br /> Date 2�z�95 <br /> Cu01K Wart�Pumll• �S �c9f <br /> Application For ti e�e�.o.o�.• 46903 <br /> PUBLIC WORKS PERMIT � P�����W��.F� <br /> To�.�... • <br /> �n�eoo�rw v.�o • <br /> Print or Type Only TO POSTING MAY 2 8 1998 � $ g � � � .o�. . 20�� <br /> � � � � « `��-3z Z�f o/iu^3/ <br /> Steve Mustach PO BOX 8301 Spokane 992 a 509-838-2250 <br /> Owner Meiling Address Cil Phone <br /> Owner � � � � � s� � <br /> Applicant Mailing Addresa City Zip Phone <br /> Addition / Remodel <br /> Describe Proposed Work <br /> Prolect Add�esa(i�known) 5011 Alki DY � <br /> Attach four(4)copies ol plans lor proposed work• Draw to scale and note the following as applicable: � <br /> • Properry Linea • Cenlerline of street � <br /> • Outline end dimeneiona ol ell existinp and • Indlcate North <br /> proposed etructures r.n Ihe lot • Show any proposad grading chanpes <br /> • EKleting and propoeed utilitiea • Show meaeurementa � <br /> D N T ELO THISI.INE <br /> PERMIT CONDITIONS O <br /> 1.All calls lor Inepectlon ehall be made 24 hro.In edvance•phone 26�8810. � <br /> 2.All work ehall be peAormed In eccordance with thie permit and cunent City of Everett Dealpn and Conetructlon <br /> Stendarda and Speclficatlons <br /> 3.Call Lxatlon Underpround 9ervice 48 hrs before you dip.TOLL FIIEE NUMSl111•000�424�6S5b. � <br /> r, /(lc.c�C �/I<.,,.-..t� a�ale�.f,cc,��d o-� /Q�iee�-f /r. O <br /> ����� <br /> � yf� � ��,�� �2f�ti ���;�°.� <br /> 5�1 �t—�:� � <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONOITIONS <br /> The undersigned owner/applicent hereby egreea to hold and aave herm- <br /> lesa Ihe C1ty of Everett Irom eny anA all cleima lor damagee. cosls. <br /> � � eapensea, or cauees ol ectlon that may arise becauae of inetelletlon <br /> �Z and maintenance of tha improvement or olher �Ight•ol•way use he�eto <br /> Approved lor ConstrU pon �� �B applied lor and further egreee to remove eame upon notice from the <br /> City and to replace public property damaped thereby. <br /> � -��C � 3 ao <br /> FINAL INSPECTION Date <br /> Approved as Constructed Sig at o li nt ate <br /> PUBLICWORKSDEPARTMENT WO�iK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CetlerStreet 1B0 DAYS OF DATE PERMIT IS ISSUED ANO THEREAFTER IS TO <br /> Everett WA88201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:269•BB10 CANCELLED BY THE CIiV UPON ANV STOPPAQE OF WOFK ON THIS <br /> PROJECT OVER 80 DAYS DURATION. <br />