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� <br /> . .L �f PUEI¢WorA�Parmil• ��/��� _. <br /> oe,e 4/22/93 TO��POSTIN6 7 39994 — <br /> i DsO� • <br /> Applicetfon For <br /> PUBLiC WORKS PERMIT PueecWork�Fea � <br /> Tot�l fae <br /> ILe���VW Fee P�id � � <br /> B�I�ncs Due � <br /> Print or Type Only <br /> � <br /> Mark D Selby 1222 Sprinkbraok Rd Lk Stevens 96258 337-Z7p 3 phone <br /> Owner <br /> Malling Address City <br /> Curt Johnson 337-4733 pnone <br /> Ap.�— <br /> Malling Address ���Y Z�P <br /> New b�ae - Sasic 203 <br /> Deacrlbe Proposed Wo�k <br /> _ � A {.� — W <br /> IT �O� � _ Recording d9304220041 <br /> Prolect Addreas(il known) � <br /> Attech lour�4)copfe�ol plans lor proposed work• Draw lo scale and note�Caniterline ol stree�`eble�. � <br /> • Property Linea • Indicete North <br /> • Oulline and dimensions ol ell exiating end � Show enY Proposed BradlnB chengea <br /> proposed strutlures on Ihe lol � Show meesurements M <br /> • Exiating end proposed ulilities W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 7.P.�I celle tor Inspecllon ahell be made 24 hre.In edvence•phone 2b9�8810. <br /> 2.All work ehell be pertormed In eccordence wllh thia permll and current City of Everetl Design and Conetrucllon <br /> Stendarde end Specllicellone. � <br /> 3.Call Locetlon Underpround Servlce 4B hre.before you dlg.TOLL FREE NUMSER 1•800'424•56 . <br /> y , ��r;do �ronc� drain7 -�� roo�top runo-F+". O <br /> � <br /> � <br /> � <br /> a � <br /> I <br /> (((������ ACKNOWLEDGEMENT OF CONDITIONS <br /> IIVS Tha�ndereigned ownar/applicent hereby agreee lo hold end aeve harm� <br /> ��w- less the Gity ol Everett irom eny end al� cleima lor dameges, coele, <br /> F' <br /> � e.penses. or ceusee o1 eclion thet mey erise beCause ol Insta a on <br /> � "�^ GI / I�/�/�'/� end m�intenance of Ihe ig provement or other Npht�ol•wey use herato <br /> YY � �Q,l� � -� epplied lor and lurther e rees lo remove e e upon notice Irom Ihe <br /> �e City anA to replace public property damaB t reby. <br /> Approved for Construt�lon ��� � <br /> ,//y,��. iu -�i9' tS . <br /> •.�� Dete Dele <br /> FINAL INSPECTION Signa�ure ol Appllcent E STARTED WItHIN <br /> Approved es Conslructed ydORK AUTHORIZED BY THIS PERMIT <br /> PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS 10 <br /> � 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION. THIS PERAIIT MAV BE <br /> Everetl,WA 98201 GANCELLEO BY THE CITV UPON ANY STOPPA6E OF WOFN ON THIS <br /> Phone:259�8810 PROJECT OVER 90 DAYS DURATION. <br />