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•••• Application For . / . <br /> � PUBLIC WORKS PERMIT �ate__ 7-10-98 <br /> PUBLIC WORNS DEPARTMENT PaUlic Works pertnit N ��� � <br /> 3200 Cedar Street <br /> Everetl,WA 982Dt 259-BB10 guilding R�rmit N 59436 <br /> MAY 2 2 2� — <br /> TYPEORPRINTONLY T� POSTING — r'uar.V+rRsFeeS GD^__ __ <br /> Anderson Vic/Altliea PO Box 1702 Everett 98206 355-9836 <br /> Owner Mailing AdCmss City Zip � paq� � <br /> Owner <br /> Applicant Mailing Address City Zip phone <br /> Desc�be Proposed Work new huuse � <br /> -- � <br /> � <br /> _ � <br /> PROJECT ADDRESS(if known) 5723 Broadway Lot 2 SP 1i12-98 � <br /> Attach four(4)copies of plans tor proposed wotk•Draw to scale and note the following it applkable: O <br /> •Property Lines 'Outline and dimensions oi all existing and proposed structures on the lot •Existing and pmposed uti�'.:ies <br /> �Centerline of street 'Indicate NoAh �Show any proposed gradirt3 changes •Show measurement3 � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIOIJS: � <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2. All work shall be pertormed in accordance with this permit and current City of Everett Design and <br /> I Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. befure you dig, TOLL FREE KUMBER 1-900-424-6666. � <br /> .-:., ��,.;,,_ �// <br /> �EC I.S.�': O <br /> v �S�c' <br /> 1JILC� 950."�. � <br /> "LUME 9LvJ <br /> I�ECH BG.C�i <br /> `RCHG 4.��:� <br /> 4IVC GO.C . <br /> �' 316', <br /> ..�;�,_ 7G.t <br /> liiL!,'Y 1613.� . <br /> ". .i"AL �863, <br /> � <br /> -��^ ACKNOWLED(3EMENT OF CONOITIONS <br /> % n �7 The undersigned owner/applicaM hereby agrees lo hold and save harmless <br /> 6� � � � / �6 the City o1 Everett!mm any and all claims for damages,costs,expenses,or <br /> Approved fo�onstruction pa�e causes of adion that may arise becausa of Installation and maintenance of <br /> � - the improvement a othar right-of-way uae herMo applbd for and further agiees <br /> � . ' / - . to remove same upon notice from the CRy end to replace pub�ic propsey <br /> ,�-'�`ti�c cl ....�'�""� �-.Z/.S, damaged the�eby. <br /> FINAL INSPECTION Date <br /> Appivved as Constructed � �i�_ � 7 3�-98 <br /> wws--�� <br /> Signalu licant Date <br /> WORK AUTHORIZED 6Y THIS PERMIT MUST BE STAh'i ED WI7HIN 180 DAYS OF DATE P IS ISSUED AND THEHEAFTER IS TO BE DILIGENTLY PURSUED 7'O <br /> COMPLEf10N.THIS PERMiT MAV BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 80 DAYS WRATION. <br />