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Det�S/25/94 � V ��Q'�-`�'�r�nu�wo�h�re,mn. ( 3 '_ <br /> Appl�cet For ama o�m • 44474 <br /> PUBLIC WO ����T�-�y 7ubbcWo.k�Fae <br /> ��.� Tow Fee s <br /> Lau�oG�Fee PuE f — <br /> Print or Type Only 8 g g g �j g g g g � B�i�nceD�e s <br /> � � x � � x � m � � � <br /> A1 Thom PO Box 1344 Snohomish ��L91~ 334-0� ~ <br /> Owner Mei � f099 � i `n Zip Phona <br /> Same g i6 � � � � � � �.". � <br /> qppllcant Melling Addresa City Zip Phone <br /> Oeecrlbe Proposed Work New duplex <br /> ��e - u� <br /> P�oject Addreas 111 knownl b42h Cwdv Rd � <br /> Attach four(4) copies ol plans lor proposed work•Draw lo scale and note the lollowing as applicable: � <br /> • Property Llnes •Centerline ol atraet � <br /> • Outline end dlmensione of ell existing end • Indicate North <br /> proposed atructures on Ihe lot • Show any propoaed g�ading chenges <br /> • Exlsling and p�opoaed utillties • Show measuramenta � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls lor Inspectbn ehell be made 24 hro.In edvence•phone 25a8810. � <br /> 2.All work ehell be perlormed In accordence wlth thla permit end currenl City ol Everett Dealpn end Canatructlon <br /> 3tandardn and 9pecllicatlons. <br /> 3.Cell Lxatlon Undeiground Service 48 hn.before you dip.TOLL FREE NUMlER 1•800�424•b555. � <br /> O <br /> � <br /> � <br /> O <br /> a <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> �\� The underslgned owner/applicent hxreby eprees�o hold and seve harm� <br /> less the City ol Everelt Irom eny and all claims lor demepes, coets, <br /> �� � n��/� eKpenses, or causea ol ection thet mey erise beceuee of Inslelletion <br /> vand maintenance ol the improvemenl or other right•ol•way uae hereto <br /> applied lur and further egrees to �amove eame uAon notice Irom the <br /> Approv lor Construction �a1 CitY and lo replaca public proparty dameged Ihereby. <br /> /, � sy 'O� — <br /> FINAL INSPECTION Date " - /� —�y <br /> Approved as Conetructed Sign ture ol Ap ic nt Date <br /> � PUBLIC WORKS DEPARTMENT W K AUTHO ED BY THIS PERMIT MUST E STARTED WITHIN <br /> 3200CedarStreet � 0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA BB201 E DILIGENTLY PURSUED 10 C%OMPLETION.THIS PERMIT MAY BE <br /> Phone:268-BB10 CANCELLED BY THE CITY UPON ANY STOPPAQE OF WORK ON THIS <br /> PROJECT OVER 90 DAVS DURATION. <br />