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ApplicaGonFor T0� POSTING APR n , ,sss � <br /> � PUBLIC WORKS PERMIT�s Date ___ 3-18-98 <br /> PUBLIC WORKS DEPARTMENT Public Works Permi�N ��/v�� <br /> 3200 Cedat Street !JJ <br /> Everatt,WA 98201 259-8810 X Building Pertnit N__SQ_21� <br /> , i <br /> i <br /> TYPE OF PRINT ONI.Y Pub�ic Works Fee S �l <br /> r � p �. . . li� ci [- <br /> � . . � � r1 : . I �-1 <br /> � . .'� <br /> Frer.land Randy/Heidi,' G893 Alp`�ne.Dr� ���v,gre� 98203 425-252-0702 <br /> �V <br /> Owner Mailing Address� Clty" Zip Phone <br /> u <br /> Rolnnd Fretland H00-3QZ��4,589•�' � � <br /> Applicant MailingAdpress_; -� ��� i� •�� �� C��� Zip Phone <br /> _ ... - ., ... v� `� c. :n :r ,. t" <br /> Describe Proposed Work new house ■ � ■ <br /> W <br /> -- � <br /> � <br /> � <br /> PROJECT ADDRESS(ifknown) 4813 Sayview Lane <br /> Altach four(4)copies ol plans lor proposed work-D�aw to scale and note the lollowing il applicable: O , <br /> •PropeAy Lines 'Outline and dimenslons oi all exisling and proposed structuras on the lot •Existing and proposed utilities <br /> •Centerline of street •Indicate North •Show any proposed grading changes •Show measurements � <br /> Dd NOT WRITE BELOW TIiIS LINE <br /> PERMIT CONDITIONS: � I <br /> 1. All calls tor inspection shall be made 24 hours in advance -phone 259-8810. O <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and i <br /> Construction Standards and Specifications, i <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � ' <br /> � <br /> �� �eeP -�,e 5-���s G Itzt.� a t � � I -b!rn ec . (� <br /> � <br /> a <br /> , �� <br /> ACNNOWLEDIiEMENT OF CONDITIONS <br /> �,�/� „� / � The undersigned owner/applicant hereby agrees tc hold und save harmless <br /> r Y �V�� thd City ol Everett Irom any and all claims for damages,costs,expenses,or <br /> Appmvetl lor Cqnsimction al causes ol action that may arise because of installation and maintenance of <br /> fhe improvement or other right-ol-way use hereto applied lor and luriher egrees <br /> ��" � to remove same upon notice from the City and to replaca public proparty <br /> �� .G' . . r �/'� y��J damagedihereby. <br /> FlN LA INSPECTION / Oa�e - /' / ///��� <br /> APproved as Conslruc�ed U � y/ �//x <br /> 1 � � V <br /> Sig ature ol Applic nl Date <br /> WORK AUTHORIZEO BV THIS PERMIT MUST BE S7ARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLV PURSUED TO <br /> COMPLETION.THIS PERMIT MAV BE CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />