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, s / <br /> � �-�-`� - i <br /> oa�e 8-18-92 �0 PnSTING /�� �,� P�s���Wo,..P„m�,. ��Z/,3Zs <br /> npplicetion For Depl • 37739 <br /> PUBLIC WORKS PERMIT Puolalel.�e`°° . <br /> Lee��po� Fee Pua S <br /> Print orType Only 3siance0ue s ��� <br /> Gayle McDowell 2625 132nd St SE Everett WA 98208 33)-2733 <br /> Owner Mai6pB Atldre56 . ; ' � Ciry . � ' � Zlp Phone <br /> Glen Olin 3622 97th P1 SE Everett WA 98208 337-3451 <br /> Applican� MailingAtld�ess Ci�y 2ip Phone <br /> Describe Proposed Work new house <br /> _� Lo� z W <br /> P�o�actAddress�ifknown) A� �� � <br /> Attach lour(4)copies ol plans lor proposed work� Orew to scale and nole Ihe following ns app6cable: � <br /> • Prope�ty Lines � Centerllne of streel � <br /> • OuHine and dimansions of all ezisting and • Indica�e North <br /> proposed struclures on the lot • Show any p�oposetl grading chenges <br /> � • Existing end proposed u�llities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls lor Inepectlon ahall be mede 24 h�s.In advance-phone 259•8810. � <br /> 2.All wo�k shell be perlormed in eccordence with thia permit end current Clty ol Everetl Design end Conatructlon <br /> Standerde and Specilicatlona. <br /> 3.Cell Localion Undarground Service 48 hra.bafore you dlg.TOLL FREE NUMBEN 1•800�424•5555. � <br /> O <br /> � <br /> � <br /> O <br /> a <br /> �'I ACKNOWLEDGEMENT OF CONDITIONS <br /> � Tha unde�signed owne�/applicaot hereby egrees to hold end seve harm� <br /> . less ihe Cd� ul [verett Irom any end ell claims lor damagav, costs, <br /> � // ,�q�. /� G_� _ �� expenses, or causes of action iha� mey erise becausx of Inslallation <br /> ��.` ��� � � and maintenance of ihe improvemenl or o�hei right-obway use herelo <br /> appGed loi antl��rther agrees to remove seme uUon notice from Ihe <br /> Approved loi Construction Date City an to replac pubGc property damaged thereby. <br /> C � <br /> � -�.�d �' � <br /> � ��"% � <br /> � <br /> � , -/> <br /> FINFL INSbECTlO��(� Dete � � / "� '�C ����-�"v�� ����` <br /> Approve�l as Conslructed Signature dA�plicant Date <br /> � PUBLIC WORKSDEPARiMENT WORK AUTHORI2ED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CatlerSt�ee1 180 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everall,WA9020i BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:259�8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAVS DURATION. <br />