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6/21/95 <br />Date <br />Applicalion For <br />PUBLIC WORKS PERMIT <br />Print or Type Unly <br />REINHOLD EUTENEIER 146 SUNLAND DR <br />OWnei AA,idin,� 4ndrus5 <br />DAN EUTENEIER 355-2624 <br />M:��Im;l AAdicss <br />Puti��c Nons Vnrm.l [• <br />pqf0 �eC� • 486%� _ <br />Pelib[ Wons Few �--- — <br />totai [pe $ <br />L�ro� 4Uni f.... Pn-t 5— <br />I9ai.��... ��. $ — <br />98382 681-0470 <br />Citi : iP Phnnn — <br />Ctly 7_iP Phone -'-- -�-- <br />Describe Proposed work _ NOUSE ADDITION AND NEW GARAGE ___ ___ _ <br />Proiect Address �il knownl 7112 BEVERLY LN _ <br />Attach four 1�) copies of plans lo� Propused wnrk - D�av: t� �c,ile ann note Iho !o�le.ving as anU����hha <br />• Proper�y Lines • Cun(erlinr nl sireet <br />• Outline an dimensions o� all e,cisting and • Intlica�e No�ih <br />proposed svuctures on Oie lot • Show any r,�oposed qradin9 r.hanyes <br />• ExisM1ng and proposed u�ilities • Show measwements <br />L <br />PERMITCONDITIONS <br />1. All calls for Inspection shall be made 24 hrs. in advance - phone 259•8810. <br />2. All work shell be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-424•5555. <br />r'U9LIC WORKS PEPMIT <br />1vOf qEaWREn <br />! Y,_;��_f-� <br />uATE_. � �-;: <br />/ <br />Appro�aC lor Construction Date <br />FINAL INSPECTION <br />Approved as Construcled <br />�A��PUBLICWORKSDEPARTMENT <br />3200 Cedar Street <br />Everet�, WA 96201 <br />Phone:259-8010 <br />� <br />W <br />� <br />— / <br />� <br />� <br />� <br />Y/ <br />Q <br />a <br />ACKNOWLEDGLMENT OF CONDITIONS <br />T he unAnrvqned owner/applicanl hereby a9ree5 to hold and save harm� <br />less Ihe City ot Everelt Irom any and all claims for damac�es. costs. <br />r*penses. or causes ol acfion Ihat may arise �ecause o' in51211ation <br />anA mamlenance of �he improvement or other nghlrobway r hereto <br />nppi�rA Ivr and lurther a9�ees ;o remove samc upon notice Irom the <br />Cdy anA In replace public pronerty damaged ihereby. <br />Signalure of Applicant �ate <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED i0 COIv1PLETION. THIS PERMIT MAY BE <br />rqyCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PRO.�ECT OVEf7 90 DAVS f11 iqATION. <br />