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/ <br /> �818 6 26 90 � �-(n. z8•j Pob�ic Wo��t Peimp• =-�` "" 321. <br /> ^' Applir.ation For fl�Ea Dept . 9p/2497� <br /> PU�LIC WORKS PERMIT fuNmWorke�ea — — <br /> Tate�!•�e s <br /> Le•.�pm FeePn� S <br /> Q88 � � 8 g $ � g� e:,�a�.•o�e 52�"' <br /> Print or T oe Onl — <br /> Y. Y Qp�1 .pp Qo p m <br /> N � NM _" M d o! N � N 1�' M Ttl <br /> M N N « N M <br /> N <br /> Bob & Mike Cr e � 713 S er 11 W #A Everett 98208 353-6500 <br /> Owner . �� � �� �s (� � ,,,� C�tv Tin Phone <br /> g ti <br /> owner .. m i!i : <br /> Applicenl Mailinp Address City Zip Phone <br /> Deacdbe Pwposed Work NeW duplex _ _ ____,_ __ <br /> �.t� -- W <br /> Prolect �.ddrese 1�1 knownl �t � - Fairview $ts �-`�'6 C.�t7.� 2d�D __ � <br /> Allech lour(4)copies of plans lor proposed work-Oraw to scele and note Iha following as applicable: � <br /> � ProDerry Llnes • Cenlerline ol street � <br /> • Outline end dimensions ol all exisling end • Intlicete Nor�h <br /> proposed siruclurea on the lot • Show any proposed grading chnnges <br /> • Exlsting and proposed utilitfes • Show meas��ements � <br /> DO NOT W'FITE BELOW THIS LINE <br /> PERMITCONDITIONS O <br /> 1.All celle lo�inspectlon ahell be mede 24 hrs.In advance-phone 259•8810. � <br /> 2.All work ehell be pedormed In accortlence with thia permit antl current City ol Everett Desipn end Constructlon <br /> Standerda end Specilicetiona. <br /> 3.Cell Locatlon Underground Senice 48 hrs.6elorP yr.� dig.TOLL FREE NUMBER 1•800•424•555j. � <br /> � <br /> � <br /> � <br />� O <br /> a <br />� ACKNOWLEDGEMENT OF CONDI5ICNS <br /> 7he unde�signed owner/applicanl hetteby agrees lo hold and seve hx�m� <br /> less Ihe C1ty ol Everelt from any end all claims for damagos. coa�s <br /> �1 evpenses, or ceuses of action that mey erise because ol inslallation <br /> .�1../_ !1 `� C�� 7-g-� and mainlenance of Ihe improvement or olher nght�obway use herelo <br /> \ IAb�X, appGed lor and lu�lher agiees to remove same upon notice hom Ihe <br /> Approved for Conalruction / Dele City and lo replace public property damaged the�eby. <br /> �r��-� //`� Zz 9� <br /> FINAI INSPECTION Dale �'G a�4' �,/9D-- <br /> Approved ee Constructed Sign re ol A Gcant Date <br /> everrtt PUBLICWORKS�EPARTMENi WOf�K AUTHORILED BV THIS PERMIT MUST BE STARTED WITHIN <br /> � 3200CederSlieel 1B0 DAYS OF pATE PERMIT IS ISSUED AND THEREAFT[R IS TO <br /> Fveretl,WA98201 BE DILIGENTLV PURSUED i0 COMPLEiION. THIS PERMIT MAV 8E <br /> Phone�259�8810 CANCELLED BY THE CITV UPON ANY STOPPAGE OF WOFK ON THIS <br /> � PROdECT OVER 90 DAVS DURATION. <br />