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ApWication Fa � 1 .�. � <br /> �i� PUBLIC WORKS PERMIT `; �•ti_, ; 8-31.:9s _ <br /> PUBLIC WORKS DEPARTMENT _ pYp�k Nyrk$Partn��M C��"A <br /> 3200 Cedar Stree� � ;i I ��J :1! --lsf �� <br /> Everefl,WA 88201 259-8810 � " " � r <br /> TO POSTING � � S � BJAdingPBrmitN___Q497�` , <br /> TYPE OR PRINT ONLY � .Publk Work�,�ee t� <br /> �i — <br /> �L l. �t) : •D u �D . . . <br /> p.� � .�� �� ,� . . . �. <br /> Steve Landsverk 4315 Stramme p.d Bothell WA 9��f1�3� `�3��159� "� �-� � '�% <br /> Owner Meiling AdCress Gt � <br /> Y � � .� Lp Phar�e ' <br /> �. : . . � , <br /> Owner `� ;. , ,.� . <br /> Applicanl Mailing Address Clty �ry�.: _ � � v . Ph�Q � , <br /> ::a[IIGI '� ���� �_ � . . . � <br /> Describe Proposed Work new house � <br /> � <br /> � <br /> PROJECTADDRESS(ifknown) 7616 E Caslno Rd Lot 4 SP p10-96 � <br /> 4ttach four(4)cories o1 plans lor proposed work-Draw to scale and nole ihe folbwing If applicable: � <br /> •r�:^arty Linns 'Outline and dimensions ol all axisting pnd proposed str.icWres or�the lot •Existing end pmposed utllitlas O <br /> •Cemadine ol straet •Indicete North 5how any proposed grading changes �Show measuremenis <br /> DO NOT WRITE BELOW THIS LINE � <br /> P6;MIT CONDITIONS: � <br /> 1. All calls for inspection shall be made 24 hours in advance- phone 259-9810. <br /> 2.All work shall be peAormed(n accordance with thls permit and current City of Everett Design and O <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Sorvice 4B hrs. before you dlp. TOLL FREE NUMBER 1-800-42�M6666. � <br /> � I��:�:ill nn mtiUr:dinn tr,n�•h bnilt ;i. ��cr tirchon t-.' n ? :�nd I�ir.nr�, and 7';�blr i-> : n}'tll� ril�� � <br /> ,iunu�uilrr '�1:uine��m��m \I�uuril Icop�• . vinulyd�o tluz penwtl. 'ILe intiilrahon iretich shsdl b O <br /> '��� �����':�•1 I�I'-III � �i`C� �/� ;III\ U�� ��0��., ��CP�k9�\- 1111�• OI � 'ql(�A IUII Ili�f C�OcpI��flAll l0 �1,.•� In illl�' <br /> '�:���1�• Il�r�.. ��1�1���91� �I11�• t.. �n111n�;1111H1 1 ��.i�l �'It���lt' �ti�OI'F:� �OI' 31I1 III��IPC�1011 �)I90I��0 :O�'P1lOQ � <br /> i <br /> II �iir�it '. <br /> � "� '- ��11� '11'IICI�II ` �1fP� :I 1 tt'��� '�.1 <br /> . � � . ( W 'i�� 1'� (i� Iill��f�`f\I(111t' f00� ;p'P;1 ��1PfP�pP� <br /> �f � .rnl rla=� al lunmr•`c��nd i> :w"in,�<•d and Ihr mflltr;ihon In�ncli i. con�tucted <br /> ? i. de�• � ogd? . ndde. lioml:�bi�. 1.221h�� tn�n�h .hrn�idb�� I�j �1_nr� <br /> ' ''� ! „ .I�q,�•r� r�-�,on�il,ilil�• to id�•ntil'� th�� �oil cln�•� in th�• }irld ;m�l if condilion� m thr ficld <br /> :n\ tlulll IIIORC 111 �Ili• CC:OII�II2 - :I(I�II�I flCC/lf(Illll`Il IIFIIIG �IIC S1I10Vt' IIICII�IOONII IHI)Id :IF FI 41111Id <br /> ` L'`���r'� ` ��i i . i,. ��i � �i•. • nrill ��,nc.�l l�,•,� nrin�ic•tn �nt �,r�irucr. ;i, �I:d��d m ��•clinn '.� � oflh�• ril� <br /> � . n•u ;mJ � ,u iniciiou .'�I;mdnr�l� and :�a �ilicahon� tw Ur� :lc��qncnt 1:�tt:ich�•Ji <br /> ) ACI(NOWLEDGEMENT OF CONDITIONS <br /> � ./�{� /,/ C� � The u�ersigned owner/applicanl hereby agrees to hold end save harmless <br /> � ��( � ' � ��(! the Cit ol Everett fmm any end all clalms fo�dameges,costs,expenses,w <br /> Appmved lor Construction Date � causes ol action that may adse because of Instelletlon and malntenance o! <br /> Ihelmprovementorotherrlght-ol- yusehe�etoappliedlaandluAher�prees <br /> � to ramova sam upon notice ihe Cit nnd lo raplace public property <br /> _,e/�.�� ' z — /7'f f tlamegetl th y. <br /> FINAL INSPEC710N ` Datn / ^ <br /> \ <br /> Approved as Constmcted G� �/ �� <br /> Sig alure of Appl 1 Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEPEAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WONK ON THIS PRQIECT OVER 80 DAYS WRATION. <br />