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� �PliCai�on FOr — <br /> PUBLIC WORKS PERMIT oa1e 2-29-96 <br /> PUBLIC WORKS DEPARTMENT Public Works Permit M � .��ZZ— <br /> 3200 Cedar Street <br /> Everett,WA 98:01 259-BB10 Bullding Permit M 50991 <br /> '� POSTING JUL 151996 _ <br /> TYPE OR PRINT ONLY Public Works Fee E�� _ <br /> Selco Development PO Box 1524 Snohomieh 98291 668-7763 <br /> Owne� Malling Address City Zip Phone <br /> Jon Se11n 979-G039 or Sruce Selin 485-8418 <br /> Applicent Malhnp Atldress City 21p Phone <br /> Describe Proposed Work new house ■ ■ ■ <br /> W <br /> � <br /> � <br /> � <br /> PROJECT ADDRESS(if known) 6503 Cad Rd Lot 2 SP 1113-95 � <br /> Attech four(4)copies ol plens lor proposed work-Draw to scale and note the following II appllcable: O <br /> •PropeAy Lines butline and dimenslons ol ell exlsting end proposed siructures on the lot •Ezlsting end proposed utilitlee <br /> �Cenlerline of atrael •Indicate NoAh •Show any pmposad grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. All calls for Inspection shall be made 24 hours in advance - phone 259-8810. O <br /> 2. All work shall be pertormed fn accordance with this permit and current City of Everett Design and <br /> Construction Standards and Spec(ficadons. <br /> 3. Call Locntion Undergroun. Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-SbSb. H <br /> V♦ <br /> �,,,� v, ,,rn: u :v�oay,p; O <br /> , - a <br /> a000soy�� <br /> E:LDG 3498 3� <br /> �L°('i Sh�.�70 <br /> NPCH f60,}J <br /> SFf.H�G S4.5C1 <br /> i�tU„", a^n.nD <br /> _��<<�t <46. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> n�� �/J���m,/ The undersigned ownedapplicanl hereby egreas to hold end save harmless <br /> �/ ���/ 3—�—�� Iha City o1 Everefl Irom eny end ell claims for demages,costs,ezpenses,or <br /> h� causes af nctlon that may erise because of Installatlon and meintenence o} <br /> �edlorConTctio�� Date thelmpmvementorotherdght-ol-wayus retoepplledlorendlurtheregrees <br /> �� to re ve seme upon tl t C y enE to replece public property <br /> � ed Ihereby. <br /> .�+'� � - /-!� <br /> FINAL INSPECTION Date <br /> Approved os Constructed ` � "')/� <br /> L� <br /> S n t Applk nt ��,��Q C/ . _, Date <br /> Y't.. 7 �Clil.!/ <br /> WORK AUTHORIZED BY THIS PEFMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THER FTER I BF.DILIOENTLY PUFSUED TO <br /> COMPLEfION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER BO DAVS DURATION. <br />