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� <br />TYPE OR PRINT ONLY <br />Appliwiion For <br />PU�LIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />E�a�e��To 9POSTIN�G57.�%°,= 'a°° <br />Date 6/30/99 <br />Public Works Permit M __ �=��3 <br />Building Permit 8 62401 <br />Public Works Foe $ w <br />KVERNMO CONSTRUCTION 4309 CRESCENT AVE EVERETT 98203 259-0599 <br />Owner Mailing Address City Zip Phono <br />Applican� Mailing Address City 2ip Phone r� <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />NEW HOUSE - BASIC 2050 <br />Attach four (4) copies plans for pmposed work - Draw to scala and nota the tollowing it epplicabla: <br />• Properh/ Linos • Oulline end dimonsions ol all oxisling entl proposed stmctures on the lot • Ezisting and proposed utiiitios <br />• C^nteAino 01 slreet • InAiwle North • Show any proposed grading changos • Show maasuremonts <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CCJNDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work ;+hall be performed in accordance with this permit and current City ol Everett Design and <br />Construction Standards and Specitications. . <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FHEE NUMBER 1-800-424-5555. <br />q. D�s�l�ry� d�ns� � saiuSG� e��s. <br />5, -�{,e �ia r���� b� d. k�t1. Cmss �d s�4/�� <br />A5 <br />b�scmr.�rf�f, cr�✓ f s ws .. .�r�► (x v��rr,n+ <br />�eY�� � pc+��o�s <br />`_ �,r�xUfUlc�iO✓is�c�1 <br />�CZt <br />bce -(� sfo�d cvz+f�- d��'� ny <br />� ��on S'i�c � � � o� �1.� ha s�.r 6hw (d 4�� '�'� �fu�s'w� <br />w�f-nP�t Z�nd em�� s�b-y�dG �1.�g¢�(�'P"r <br />CY'Gw�y�cG '�t,Q� CO.�S'�✓Vc'f i� S�cv(� bc RuD�c��• <br />V <br />-�,r �-��� c �, b yr�� <br />B�• � J'��? f-GtSA�� <br />�-qK� <br />�� � <br />�c�s°��m,�''=,� Ir-3v-g S <br />fINAL INSPE�TION Dale <br />Approved as Cunstructed <br />� <br />�� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The untlersigned owner/applicant hereby egrees to hold and savo harmless <br />the Ciry of Evoretl Irom any and all claims lor damapes, cos6, ezpensos, or <br />causes ot action thet may arise becauee oi installatlon and maintenance of the <br />Improvement or other right•of-way uso hereto applled �or end fuMer agrees to <br />remove umo upon noti e I the Ciry and to replece public property dam• <br />a od t reby. <br />�-�.�—�� �% /�l �� <br />o pp ican e <br />VJORK AUhiOR�D BY THIS PERMR MUST BE STAFifED WI'fHIN 1B0 DAYS OF DATE PEPodIT IS ISSUED M1D TMEREAF�ER IS TO BE DILIGENTLY PURSUED TO <br />`QOMpLETpN. hIIS PERMfT MAY BE CMICELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON TH�S PRQIECT OVER 90 DAYS [IURAMRJ. <br />\ <br />