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TYPE OR PRINT ONLY <br />A�s'::etion For <br />P�IBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257•8810 <br />� ? b 2oon <br />TO POSTING _�-- <br />D.ue _ 6-9-99 � <br />\' <br />Public Works Permit N �� I ��� <br />C99oco-o�s <br />Building Permit N � _ <br />Public Works Fee $ zO <br />Dave Madle (Castle Dwellers) 16825 W Lk Goodwin Rd Stanwood 98292 425-339-5786 <br />Owner Mailing Addross Ciry Zip Phonu <br />Owner <br />Appliwnt MaiGng Atld�ess Ciry Zip „ Phono �, <br />Describe Proposed Work new duplex= <br />PROJECT ADDHESS (il known) 697.0 Heverly Lane Loc 2 SP 1t54-98 <br />Ansch lour (4) copies plans lor proposetl work - Draw to scalo and noto the lollowinp If appliceble: <br />• P�oporty LJnos • Outline and dimonsions ol all axisting And proposed structuros on tho lol • Ezisting and proposetl utilitins <br />• Centadine of streot • Indicata NorLti • Show any propocod gradin; changos • Show measuromants <br />DO NQT WRITE BELOW THIS LINE <br />PERMIT' CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-BB70 <br />2. All work shall be performed in accordance with this permit and current City oi Everett Design and <br />Construction Standards and Specifications. . <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />j)IL'.` (O 1�IC �1fP!'c'OC� 0� N'tI�{III(�9 A� ��1C ��i'AI� 0� l�ll;� �IIC. IliSlfl�� £111 �)1•��rt 1'.:IOII �I'iIi("�: �iill�l f�F ��!'P `:CCi10 <br />',r? uu�l I'iaur�� ;-2.2 and'f,iblc 3-2. i ul lh� cifp Slurniw�t�er \1aun�;rw��nf Al;wual (copy stapl��d t:� i <br />�,��nud ) Ui: pc�sion �;� sl; uis should Lr !�ackl'tll�d lo tli� Surliicr wilh crnvel lu .dlo��• fnr i,v�•riln��. t� <br />��U�l�il' �S�(�1'%> t'or �m insp,�ctio�i pi ior to co��� rinR Irenchc�. '(lic (�Iti4)CJ'SIOII 5�'91ii11 : �I:I�� �� ' ���i;il.'i� 11ii <br />��, ,�r�li.• �.�:!Inud l��ill:�i. ��i�!i a miniunuu I�ilt :cth��ci; liotu buildinc founil:di�ni <br />W <br />� <br />� <br />V /� <br />� <br />O <br />� <br />� <br />AGKNOWLEDGEMENT OF CONDITIONS <br />Tho undersigned owner/applicant hereby agrens lo hold and savo harmlcss <br />the Ciry of Everett Irom any and all claims lor damages, cosls, ezpensos, or <br />causas ol actio t map :anse be e ol inslallation and maintenanco ol thc <br />impmv nt r ol y dghl•ol•w use eruto appliad br and further agrees to <br />rem o se pon lice iro the Ci and to rep�ace public proparty dam� <br />WORK AUTHORI7FD BY 1HIS PERMR MUST BE STAHTED WIIHIN 1B0 DAYS OF DATE PERMR IS ISSI�D AND 7}�REAFIER IS TO BE D!UGENILY PURSUED TO <br />pqApLET1pN. THIS PERMfT MAY BE CMlCELLED 6Y THE CfTY UPIXJ AM' STOPPAGE OF WORF( ON TH�S PRQIECTOVER 90 DAYS WRATION. <br />