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\ , . . <br /> 1Z�4�92 Pubi�cWo�R�Permit3 • � � — 1 <br /> Date J <br /> Applicetion For T� PncTi�r, /U �v eiao oeo� • —_ <br /> PUBLIC WORKS PERMIT Pu����,�I���Fee s <br /> lefs�pp�Fee Pua s � <br /> B�ie�ce Dus s 2�°� <br /> Print or ?ype Only <br /> tier. Berg 12617 38th Ave SE Everett 98208 337-7836 - <br /> Owner <br /> Mailing AAdress Cdy 2iP Phone <br /> Applicent <br /> Meiling Address City Zip Phane <br /> Nea hoase _._ <br /> Describe P�oposed Work <br /> � <br /> 7725 Cascade Dr Uf' ,j o� .Sr' Zn -.3 - � <br /> Pro�ect Address lil knownl <br /> � <br /> Attach four(4)coples of plans for pioposed work� Draw lo scale and note the following as applicabte: � <br /> • Property Lines • ConteAina ol atreel <br /> • Oulline end dimensi�ns ol all e�istinp and • Indica�e North <br /> proposed struclures on the lot • Shnw any propnsetl Breding rhenges <br /> • Exiatinp end proposed utllities • Show measurei�enla M <br /> W <br /> DO NOT WRITE BEIOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 1.All cells lor Inepactlon ehell be made 24 h�s.In edvance•phone 259•8810. <br /> 2.All work ahell be perlormed In eccorAence with thle permit end currenl City ol Everett Design end Conatructlon <br /> Standarde end Specificetiona. � <br /> 3.Cell Locetlon Underground Service 4B h�s.belore you dig.TOLL FREE NUMBEP 1•800�444•5556. <br /> O <br /> � <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ` _ The undersigned owner/epplicenl hereby egrens to hold anA seva herm� <br /> Q,�� less the CAy of Everett Irom any end all claims fo� dameges. cosls. <br /> expenses. or causes o1 acGon thel may arise beceuse of Installation <br /> � ��� / — epn mamlenance ol ihe improvement or other righPol�wey use hereto <br /> %� - f�= �� 2 lied lor and luriher agrees to ramove seme upon notice Irom Ihe <br /> Appwved lor Conslru on a�e City ntl to replac public roperty damagad Ihe�eby. <br /> ,� /�/� � <br /> FINAL F'�SPECTION J ��—�Dat� Dale <br /> Approved as Consiructed S�gna of ApPhcent <br /> WORK AUTHOR12ED BY THIS PERMIT M T BE STARTED WITHIN <br /> � PUBLICWORKSDEPARTMENT 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cader Streel BE DILIGENTIV PURSUED TO COMPLETION. THIS PERMIT MAV 8E <br /> Everelt.WA 88201 CANGELLED BV THE CI7Y UPON ANV STOPPAGE OF WORK ON THI' <br /> Phone�.259�8810 PRpJECT OVEF 90 DAYS DURATION. <br />