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� <br />Ap0lication For <br />PUBLIC WORKS PERMI7' <br />PUBLIC WORKS DEPARiMENT <br />3200 Cedar Street <br />Evere��, WA 98201 259-P870 <br />Dale <br />Public Works Permit A <br />II <br />12-20-96 <br />-�Pl�/�s�- <br />Building Permit M :��� 53615 <br />� <br />IYPE OR PFINT ONLY Public Works Fee $��O <br />Sunmark Homes 2210 Hewitt A�e II300 Everett WA 9R201 513-2762 <br />a�xaactncxKaw�xag�cs�acx�x�saasxxxax�csttaa <br />Owner MailingAddress Clty Zip Phone <br />Sif�l(�CId�il[i[�[X Curt Johnsun 337-4733 <br />Applicant Mailing Atldress Cily Zip Phone <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />new house <br />6914 Beverly L.ne <br />Attach tour (4) aiples of plans f�r proposed work - Draw to scale and nota the lollowing it applica�le: <br />Lot 2 SP 1i33-95 <br />•Property Lines 'Outline and dimensions of all etisting and proposed structures on ihe lot •Existin j and proposed utilities <br />'Centerfine of slreet •Indicate NoAh •3how any proposed grading changes •Show measurements <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this oermit and a.irrent City of Evorett Design and <br />Construriion Standzrds and Speciticat�ons. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />4, C'�,�irt�rlGr sh.s �l �d� coh.sfi2�f z�aFcfr�.�s�- <br />/✓!ri iT!'Ri �(y/ S�e✓h C; s fJ�i�/ `T%1,� S�Z i NG/ � i?-�C�'/r�t 7�i �v1 <br />ci �Jd ��; r lf t��rcl�e� �a �fh� t�e-,-�;f - <br />pt, ,,,;,, � . �: ,, ,,,:,�a, <br />;k:, , � <br />`#DO�a',VJ..: <br />�L�G E'i`'.^.,9J <br />'�'Lv�] �o i j.:�� <br />MEi u �;0,'n <br />SF.'C!;FR i�: ;p <br />)kiV�V S�O,C� <br />;f^00304"P, <br />�=4,`E*: g'7n -:�. <br />=.'En' i ":9: _�t' <br />.4CKNOWLE��iMENT O��L01�]DITIONS <br />The undersigned ownednpplicant hereby agrees to hold and cave harmless <br />the City ol Everett from any nr.d all claims foi d�maoos, cosis, expsrses, nr <br />ca�ses of actiun that may arlse because of installat:on anr� mainlenance ot <br />ihe Improvemenl or other right-of-way use hereto applied for and luriher ag�ees <br />to rerr�ovo same upon notico lmm the City and to reolace public property <br />damaged ihereby. <br />� <br />Signat o plicant ������r �j' Date <br />Y:ORK AUTHORI2ED BV T1;IS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF OATE PERMIT I SUED AND TMEREAFTER IS TO BE DILIGE�lriV PUHSUED TO <br />COMPLETION. THIS PERM'1' MAY BE CANCELLED BY THE CITY UPON ANY £TOPPAGE OF WORK ON THIS PHOJECT OVER 90 DAYS DURATION. <br />