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�_a <br />Date 2'z�-91 <br />qpplication F'or <br />PUBLIC WORKS <br />Print or Type Only <br />Tyler & Joanne Olson <br />Huilders <br />Describe ��oposed Work <br />prolect Address;il known) <br />TO POSTIN� . _ �-'z°—`iZ <br />PE,RMtT <br />7424 f <br />Address <br />1302 Mukill <br />Mailin9 Address <br />i�„n�,�wo��,rA,mn. _�Z ���_—_.. <br />31�u o�,o�.. 92[35692 __. <br />o�n���We,�,Fae $ <br />,�,,, ��. <br />Lca noo� Fm Pr�u � <br />, � iB�IJ�1'nOull <br />i(� . � <br />�, <br />verl�'Lane�� Eveiett 98203 <br />� � � � C�ity � � , � i ZiP � <br />, � .} n -� i�t r t r,��� ri le <br />o glv,� � �'Everett 9��103� ; ��25�9�4�E <br />Citv z�p <br />Attach lour (4) copies ol Plans tor proposed work � Draw lo scale Tnd note� eCeol;erline ol st e��cable: <br />• Properry Lines • Indicate North <br />• OWline and dimensions ol all rxisting and � Show any proposed gradin9 changes <br />pmposed slrucWres on tho lot � Show measuremenis <br />• Existing a�d proposed u6lities <br />:� ?S-� �— <br />�, <br />347-7242 <br />i PI{onp <br />I� ��: <br />t I - 11 � <br />' Louise Gabrio <br />PEPMIT CONDITIONS <br />1. All calls lor inspection shall be made 24 hrs. In advance - phone 259•8810. <br />2, AII work shall 6e pedormed in accordance with this permit anC current Cily of Eveiett Design and Construction <br />Standards and Specilicationc. <br />3. Call Locat�on Undeigrountl Service 48 hrs. belore you dig. 70LL FREE NUMBER 1•800•424•555 . <br />q. p7�� ruct.ine nf trer'.s ident;ified hv th�� ireF pres�rv�t.i.nn C�]nn <br />�n� fil�= wit.h the Fl.innine Dnpnrt,mF�nt,. bv DPVNinpPr. Nuildr=r� <br />nr FinmvnwnPre is permi t.t('vr l,{hv�I;he,Plarn�ine�llepar�tment <br />haa�rdoue tree�. as app•. <br />�:, <br />ti <br />'I're�s that are tn ha saved mu�t be fPnr.,ad nt t.he r?riG lin� <br />pri.nr Lu y�iv clr;�rinr_, er-+rlinc. :+nr3 r.nn5tru�Li�n. <br />All rnnf r3rain:�� >�.fi�ll }�,-� .lirarr.,.-,rl t.,-� .�n lufilP.rr�tinn t.re�nch <br />� r <br />� `I�. t�lt� 3, 92 <br />� "�'� Dnte <br />An�roved lor ConsVuc�n ' <br /><i <br />� f•� L <br />��": ���, , __ ���—� <br />FINAL INSP[CTION �`��� <br />pppmved as Conslructed <br />pyy,i_=7 PUBLICV:ORKSDEPAF7MENT <br />��3200 Cea�r Slreet <br />,�,�1STJ E+mctt.VJAfd2N <br />� Phom• 159�BOt0 <br />W <br />H <br />s�w <br />V / <br />� <br />� <br />� <br />V / <br />� <br />a <br />ACKNOWL[DG[MENi OF CONDITIONS <br />The unrorsigned ownr.UapPhcani hereby aprees to hold and save harm- <br />Iess Ih�� Cily ol Eveiell irom any and all cWlms for tl�ma9es, casls. <br />expenses, or causes ol action Iha� may arise betausu ol installation <br />and mainlenance of Ihe irt'�o�ovement or o�her righ4ol�waY use'ie�e�o <br />applied lor and further .�rees to remove same upon notir.e Irom 1he <br />Cilv :uW lo replace puhl� Properry damageA lhereby. <br />` ,j �-/D- <br />" - Dat�� <br />Signa Ure ol APPIi .an� <br />WO ' AUTHORIZED UY THIS PERIdIT MUST BE ST��aTED W�7F�IN <br />1C DAYS OF �AT[ P[RMIT IS ISSUED AND THEREAFTER iS TO <br />�� DILIGENTLY PURSUED TO COMPLE71nN. THIS FERMIT MAV BE <br />CANCELLED BY TH[ CITY I1PON AIJY STOPPAGE OP N10fiK OP! Tr{IS <br />PROJL�T OVEf7 90 DAYS DU�7�TION. <br />