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Date 7/19/93 V�(P� wr✓ �` % <br /> t(1 P�STING_ G -6 -�� Pum�cWorbPermiu � ,�{J I <br /> Applicauon For eina o.oi • 41352 <br /> PUBUC WORKS PERMIT P�m¢Wod�Fee — <br /> To�si Fee s <br /> Le���pPl Fee PeiE �� <br /> Print or Type Only Behn�e�ue {_� <br /> Jamea A r� Desi�n FLConst 15l,9 . G�.«�. A� �.iT <br /> Owner MaJmgAtldress �i�Y R rh 7� ZAf111 [.pp n633 <br /> p Phone <br /> Sawe <br /> Applicant Melllnpqddress �i�y Zip <br /> Phone <br /> Descrine Proposed�vork New house Lot 2 SP �/10-92 <br /> Pro�ect Atldresa(il known� 5� CedV Rd � <br /> Attech lour(4)copies of plans lor proposed work• Draw to scale and note I�e lollovdng es appliceble: � <br /> • Property Llnea � <br /> • Outline.�.nd dimenaiona of all eaisfin anA � Cen�erline ol streel � <br /> 8 • Indlcate Nmih <br /> proposed atructures on the lof • Show any proposed gradlnF chenges <br /> • Exlsting and p�oposed utilitiae • Show mea�urementa <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS O <br /> 1.All calls lo�Inepection ehall be mnde 24 hra.In advence•phone 259•8870. <br /> 2.All work ehell be perforrtied In accordence with thie permlt and current City ol Everett Desipn and Conetructlon ' <br /> Standarda end Speclfictdlona. <br /> 3.Call Locetlon Underground Servlce 4B hro.before you dig.TOLL FREE NUMBER 1-800�424•5555. <br /> � <br /> O <br /> � <br /> � <br /> � <br /> o�� <br /> a <br /> ���J/y ACKNOWLEDGEMENT OF CONDITIONS <br /> �v� The undersigned owner/applicant hareby agrees to hold and seve harm- <br /> ( less the Cily ol Everetl I.om eny end all claime lor damages, costs. <br /> C �� ezpenses, or ceuses ol action that mey arise 6ecause ol Inslellation <br /> VQ and meintenance of Ihe improvement or o�her right•of•way uee heretn <br /> ApProved lor Conclniction applied lor and lurthei agrees lo remove eame upon notice from Ihf� <br /> Dale Cily and to replace public properry demaged thereby. <br /> ��" C - iT-f3 <br /> FINAL INSF'ECTION Date <br /> Approved es Conslrucfed i ture nl Applicanl Date <br /> PUBLIC WORKS DEPARTMENT K AUTHORIZED BY THIS RMIT MUST BE STARTED WITHIN <br />, 3200CederStreet 1 0 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTEH IS TO <br /> Eve�ett WA 88201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259•8810 CANCEL LED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />