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. � POSTING ""�-i— <br />Applicalion For <br />� PUBLIC WOR6z� NERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Strent <br />Everetl, WA 99201 (425) 257-8810 <br />TYPE OR PRINT ONLY <br />Date <br />Public Works Pertnil M <br />4-29-99 � <br />Building ?ermit # _ b2107 _ <br />P�tlic Works Fee $ � �J — <br />Key Homes 5223 128th P1 NE Marysvillc 98271 425-239-2684 <br />Owner Mailing Address Ciry Zip Phoae <br />Owner <br />Applican� Mailinfl Atldross Ciry 2ip Fhono �, <br />Describe Proposed Work new house – Basic 2041 _ <br />PROJECT ADDRESS (if known) <br />Attach four (4) copies plans lor proposed work - Draw to scalo nnd noto tha following it applicablo: <br />� Property Lines • Outline and dimonsions of all oxisting and proposod siructuros on the lot • Ezisting and proposod utilitics <br />• Centedina ol strert • Indirato Nurth • Show any proposod grading changos • Show moasurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIOVS: <br />t. All calls tor ins�ection shall be made 24 hours in advance - phone (425) 257•8810 <br />2. All work shall be perlormed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specitications.. <br />3. Call Localion Underground Service 46 hrs. betore you dig. TOLL FREE NUMBER 1•800-424•5555. <br />9-. D � s����� d�ns�t. s-� 5� ��sh <br />5, i�� C�eo� rtP� �j J.k�e:r�l� <br />l�looF�s , <br />Cmss ��cd 5�4/� s��c,s <br />�o lx du lh� bla. � 5-�� <br />s�ch �s b2�scn+c.+ts, chawlsQaccs... w;\►t�nd <br />W2�iP.f' ci�r�n extu�+�d w�� (wr�ads. Cons�rvct�on of <br />ac�r�ess -N,� �ekc,�,t��,� -�� <br />S1/.✓'t�IG ,$U%'>Q(L�C� 1✓G}'NGSS <br />(— 1 <br />dru�'`z9�'I`�u(j0r �rri�rs, ctc• <br />Sl��ld bc �Jo���d" <br />-�j,a ha�sss shw1� <br />��d �,� p �� s� �-9�d� <br />rar �l,�t �c�zoh ci�wl s�zcc �ype- cvhs�ct�� <br />W <br />� <br />�� <br />V/ <br />� <br />V/ <br />O <br />a <br />5✓�� ACKNOWLEDGEMENT OF CONDITIONS <br />/� ✓1w�,/ � The undersignad owner/applicant hereby agrees lo hold and save harmless <br />(/' V/ v/%, n �� l��� the Ciry ol Everott Irum any end all clalms lor damage,, eosts, e�penses, or <br />/L�C �' � KX%�' � causes of uction thal may arise bocsuse o' Installauon and maintenance of the <br />p mve Tori.ons ruc ion a improvement or othar dghFo4way usa herelo applied lor and turther agreos lo <br />[3C� removc seme upon notice Irom the City und to replace public property dam• <br />(2! � � �'L z(— I 1 agedthareby. '� <br />y /�c <br />FINAL INSPECTION Dato <br />� / r l/� ����/� <br />Appmved as Constructod <br />igna uw o p ica ati <br />WORK AUT}iORIZED BY THIS PERMR MUST BE STAHTED WIiNIN 1B0 DAYS O'r DATE PERMR IS ISSUED AND THERF1�FfLR IS TO BE DIL1GFNf -Y PURSUED TO <br />COMRt�1pN. THIS PERM(T MAY BE CAPJCEI-I.ED BY THE CrtY UPON ANY STOPPAGE OF WORK ON THIS F'FiQ1ECT CVER 90 DAYS Dl'Mil'Y�'. <br />