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�VPE OR PRINT ONLY <br />,� <br />qpplication For lYa <br />PUBLI(. WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT �Ow <br />3200 Cedar Street g <br />Everett. WA 98207 259-8810 <br />JUN 18 19� <br />��! POSTING— — � <br />N <br />Time 011 Co 2737 W Co�odore Way Seattle`idA� <br />ON�ner Mailing Address `��. � <br />CEcon Corp 1703 Portland Ave Tacoma 984 <br />,,,� Mailinp Address <br />Describe Praposed Work pour 5 <br />g <br />a <br />�1' <br />Date_ 11-14-95 <br />Public Works Permi', k ���� `� <br />B�dldin9 Permit M <br />�,r,� <br />g gublic Works Fee S G� <br />�� <br />ZiP Phone <br />�lace 14 x 17 concre.te pad, install 62' chain link fence, <br />sewer tie-in, :'.nstall 240' <br />PROJECT ADDRESS (if known) <br />928 N <br />pvc pi <br />Attach four (4) copies o1 plans for proposed work - Draw to scale and note the following 8 applicable: <br />'PropeAy Lines 'Outline antl dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />"Centerline of street 'Indicate Norih •Show 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 perfoi med 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 />�'� A 1/�S�1ZKL�G c"�1VTV�p('i2�0✓1 �Pif7n�, YIL�S�. �oC. <br />O�M �d �r�on-� -� � G; -� a-� E�e�� I rta►�n4,-�`wl <br />I�� �v�c.�,k.�.�k. �7; �� s i w• P ri � r+� �t � �.t� a,rrye- � <br />SCt,✓W- SeC Ti�-i�G�ln ed $Eux-r C/I�t�r �-Fv,�' <br />s_ �L yt��.,e,� locc:�; 0,1. <br />/ <br />W <br />� <br />� <br />Y / <br />� <br />O <br />� <br />� <br />O <br />ACKNOWLEDGEMENT OF CON�ITIONS <br />The undersignei ownedepplicant hereby agrees to holtl antl save harmiess <br />�! ^�/',//„ ///��� . the City of Evero� w and all claims for damages, costs, eapenses. or <br />s�,(� "(,(�IG� � I/r_ causes of adio^ � +se because ol installa�ion and mai�tenance ol <br />A p�ovedforC nstruction T� e thelmprovemen of-wayuseheretoappliedforandfuAheragrees <br />to remove samb .., lrom ihe City and !o re ce public propeny <br />��.y� damagedth . <br />FINAL WSPECTION Date --� � ' // <br />Approved as Constructed _ �— L f <br />I. ignz ure �� nC � ate <br />COMPLETION.TIHIS PERM T MA YBE CAKCELLEDTBYTHE CINIUPON ANY SOTOPPAGE OF WORK ON TD F•PPOJE H' 0 EER 90 DAYS DUIRATEO JLv PURSUED TO <br />