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J ' �t -7`�+'� / <br /> oe'e 8-18�92 TO POSTING.. ����� Pu�i¢WodsPermil• � Z 2 <br /> Appl�wtion por ein� oen� . 37740 <br /> PUBLIC WORKS PERMIT PubTc�""^Fee s — <br /> �.eas Appl Pee PeiG s <br /> Print or Type Only e.�.���o�s s 7�J "— <br /> Gayle McDowell 2625 132nd 5t Sli Everett WA 98208 337-2733 <br /> Owner MailinpAtltlrecs � � � Clty - � Lp � Phone <br /> Glen Olin 3622 97th P1 SE Everett WA 98208 331-3451 <br /> ApPlicant Mailing Atldress City Zip Phona <br /> Deacribe Proposed Work new houee <br /> Lot 3 _ � <br /> ProjectAddresa�ilknown) � �..Q�`f�f� � <br /> Atlach lour(4)copies ol plans lor proposed work- Draw to scale end note the lollnwing as Tpplicable: � <br /> • Preperry Lines • Centerline ol sireel � <br /> � Outline and dimensions ol all existing and � Indicate Nortn <br /> propOsed S�ruc�u�ea on�he lo� • Show nny proposed gredinp changes <br /> • Exisling and proposed utllitlea • Shuw measuremenis � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All cells lor inspection shall be mede 24 hra.In advence•phone 259•8810. � <br /> 2.All work ahell Uo peAormed In eccoidance with thie peimit end current Clly ol Everott Deaign and Constructlon <br /> Stenderde end Specilicet�one. <br /> 3.Cell Location Underpround Servlce 4B hre.bafore you dig.TOLL FREE NUMBER 1•800�424-5855. � <br /> O <br /> � <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> _ The undersigned rn�+neqapplicanl hereby agrees to hold and seve ha�m� <br /> less �he C��y ol Eve�elt from pny end all claims lor damages, cosis, <br /> /�� eKpenses. or causes of action ihat maY arise beceuse ol Inslalletion <br /> �^��' � 9� antl maintenance ol the improvement or olher �ighbobway use herelo <br /> A proved lor Cons udion pa�� <br /> epplied for and �urthe� agrees lo remove seme upon notice fram the <br /> j City and to ieplac pubGc property damaged ihereby. <br /> r.l' iY._- ?-io �`i...3 � � ,.�(/�j� <br /> FINALINSPECTION Date -���«� �-'F"�""'�'��� � <br /> Approved as Construded Slgnatwe ol Applicant Dale <br /> � PUFLIC WORI(d DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> �20��CederSlreet 1B0 DAYS OF DA7E PERMIT IS ISSUED AND THEREAFTER IS TO <br /> E�e�ett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br /> Pt ��e:259�8810 CANCELLED BV THE CITY UPON ANV STOPPAGE OF WOFK ON TNIS <br /> PROJECT OVER 90 DAYS DURATION. <br /> I` <br /> I <br />