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\ <br /> Date 3-31-94 �'�(� t�ncTi��� � I— I (� -Gy PuEbcWorh�Permn� �/1�1 � <br /> e�na oao� • 43952 <br /> Applicatlon For d <br /> PUBLIC WORKS�ERMIT PueecWorb�ee <br /> Totei Fee s <br /> $p Les�AOCI Foe Pe�tl S ��y�. <br /> O O O� � � � o S S B�I�nu Due S (f/ <br /> Print or Type Only r_ in d p c� <br /> � d � �OC+ N CJ [� V�'1M <br /> 1!7 M M M M M M � <br /> Phil McAlieter 5830 Cady Rd �erett WA 99203 '355-5967 <br /> Owner Meiling Adtl�5� M F �IY �� Zip Phone <br /> � � � � � <br /> °� � � � � � �, � � � � <br /> .. <br /> Owner � <br /> Applitent Melling Address City Zlp Phone <br /> Descnbe Proposed Work new house <br /> Lot 2 SP 1202-17-90 <br /> - - - W <br /> Project Address Iil knownl 5 v32" w�'=� �d . —_— � <br /> Attech lour(41 copies ol plans lor proposed work� Drew to scale and nole the lollowing as applicahle: � <br /> • Properly Lines • Centorline of street � <br /> • Oulline ard dimensinns ol all existing and • Indicele North <br /> proposed slructures on Ihe lol • Show eny propose��greding chenges <br /> • E�Is�ing end proposed utilities • Show measurenivnts M <br /> W <br /> DO NOT WRITE BELON THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calis lor Inapection ahell ts made 24 hre.In edvence-phone 259•8810. � <br /> 2.All work ehall be peAormed In accordanca wlth thls permlt end current City ol':verett Design and Construction <br /> Stendarde end SpeciNcatlona. <br /> 3.Cell Locetlon Underground Servlce 48 hra.belore you diB.TOIL FREE NUMBER 1-800�424•a555. � <br /> O <br /> � <br /> � <br /> O <br /> a <br /> ACKNOWLEOGEMENT OF CONDITIONS <br /> ,^� _ The undersigned owner/appGcant hereby ag�ees to hold and save harm� <br /> --- less �he Gty ol Evere�t Irom any end all claims �or dameges, costs. <br /> e�penses. or cnuses of aclion thal may arise because of inslellntion <br /> �'(/�/'� � 1/l ('J/L and maintenence ol ihe improvament or other nghbol-wey use hereto <br /> / / �///`(�/___ rT « applied lor a lurther egrees lo remo�e same upon notice Irom �he <br /> Approved lor Co siruction �°�e City anA to r place pubGc property dameged Ihereby. <br /> / (� � / <br /> //- 7- S'y � - � - <br /> FINAL INSPECTION Date � <br /> Approved as Conslructed alure ol A hcent Date <br /> WnRK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � PUBLICWORKSDEPAR7MENT 180 DAYS OF DA1E PERMIT IS ISSUED AND THEREAFTER IS TO <br /> � 3200 Cader Street BE DILIGENTLV PURSUED TO COMPLETION. THIS PERMIT MAV BE <br /> Everett,WA98201 CANCELLED BY THE CITV UPON ANY STOPPAGE OF WOHK ON THIS <br /> Phone:259�8810 PROJEC7 OVER 90 DA1'S DURATION. <br />� <br />( <br />