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Date 12-14-94 <br />u �1AY l 6199 i <br />ApplicalionFor �� �OSTING <br />PUB�IC WORKS P�RMIT <br />Print or Type Only <br />Laurent Girard � <br />Owner <br />..vu���a��� <br />Qp <br />4 <br />r 8�a'g�� 8�€� <br />r�"i .e ,o 0 0 3.. o o,o <br />:: �.�«iw'":� «n� <br />C•1 N N .-1 <br />144th St SE"Ev�rett 98208 3�J-436� <br />Mailing Atldress p. ��q Ci -� „ <br />� a s ��� oi3 <br />� ����������� <br />mawng naaress <br />Describe Proposed woik _ second house on lot w/2 QaraRes <br />Project Address �il known� 6830 Beve[ly Lane (A & B) <br />PubLc Vlode Parmil • <br />eiac oeai . 46 <br />Pu�l¢ WorMa Fee <br />Totei Fee S <br />L!S! Appl �ee 4� � $ <br />Baiance0ue $ ^J-- <br />Z�P �hone <br />Attach fow (4) copies ol plans �or proposed work • Drew to scale antl note �he following as applicable: <br />• Property Lines • Centerline of sireet <br />• Outline and dimensions ol all existlnq and • Intlicale North <br />proposed structures on the lot • Show any proposed 9rading changes <br />• Existing and proposed utilities • Show measuremenls <br />PERMIT CONDITIONS <br />1. Ail calls lor inspectlon shall be mede 24 hrs. in advance • phone 259•8810. <br />2. All work shall be performed in accordence with this permit and cwrent City of Everett Design end Constructlon <br />Standards and Specificetlons. <br />3. Call Location Underground Service 4d hrs. belore you dig. TOLL FHEE NUMBER 1•800•424•5555. <br />, G% L /,'/ /� �j <br />/, �� / .i'ia�*-�� / v� /:c� fic.LC�Gd' <br />� y eC c�S S e�.✓ 2 r t2 17�t �- 4 Z`. e�-.� /'(' r rt i f <br />�-X, s� f, �.� a��, ��, � <br />is t�, �� �'� .-. � �_ � <br />Approved lor Conslruc;ion Datc <br />FINAL INSPECI'ION <br />Approved as Conshucled <br />��r�PUBLIC WORKS DEPAR�CAIENT <br />3200 Cedar Street <br />Everell, WA 98201 <br />Phone: 259-8810 <br />Datc <br /><< �n n� Si d�= l A%�' ( i�7 c <br />W <br />� <br />� <br />� <br />� <br />� <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/apPlicant hereby ag�ees to hold and save harm� <br />less the Cily ol Everett irom any and all claims for damages, costs. <br />ezpenses, or causes ol dction that may a�ise because oi installation <br />and maintenance ol Ihe improvement or other righl-ol-way use herelo <br />applied for and lurther agrees to remove same upon notice Irom the <br />Ctly and to replace publlc proVe�ly damayed thereby. <br />—S / C '��–�I�/ <br />g ture ol Applicant � Dale <br />RK AUTHORIZED BY THIS HERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND 7HEREAFTER IS TO <br />BE DILIGENTLY PURSUED Tp COMPLETION. THIS PERMIT MAV BE <br />CANCELLED BY THE CITY UPCN ANY STOPPAGE OF WORK ON THIS <br />PROJcCT OVFR 90 DAYS DUf!n�ION. <br />