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/ <br /> � APWMAIion Fw — ;� <br /> PUBLIC WORKS PERMIT D81e 11-1b-98 <br /> PUBLIC WORKS DEPAHTMENT Publk;Nbrks Permlt N ���Q� <br /> 3200 Cedar Slreet <br /> Everetl,WA 88201 259-BB10 Bullding Pemtlt N_ 60879 <br /> TYPE OR PRINT ONLY {r �USTI NG��c " � "� Publ�c Works Fee S_C.(/ __ <br /> Juat Rite Conatruction PO Box 2043 Everett 98203 425-30A-3179 <br /> Owner Malling Address ��} <br /> Y Zip Phone <br /> (hmer <br /> Applicant Mailing Adtlress Clty Zip phone <br /> Describe Proposed Work new houee - Basic 2023 _ � <br /> — � <br /> � <br /> PROJECT ADDRESS(if known) 77� �tg E Clsino Rd Lot 3 SP N18-98 � <br /> Atlach lour(4)copies o1 plans for proposad wmk-Drew to scale and note tho lollowing II appllcable: � <br /> •Property Lines �putline end dimenslons ol all existing and proposed structures on thn lat �Exlsting end proposed utllllles O <br /> •Centerline of sireel �Indicate North 5how any proposed grnding changes •Show measurertNnts � � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours In advance-phone 259-8810. <br /> 2. All work shall bR peAormed in accordance with this permit and current City of Everett Design and O <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER i-900-424-6555. � <br /> i �., ��.ill �u�, 'I'�i�I,.�����il l�.,il('�1 ��III�' 'I`' ���`I� 4:CIIItII 1-' M1 ? :II!t� Ih�qq-.. .�tl�� � 'If��' 3-) ) �� (flr C`��' � <br /> �i��ini�c,�� v .�I�m:icrwcnl \Isum;il ji o�n � ��;y�l��d lu IIn- UriuiiU 1'lii� ud�llielion hrurh sh,ill h O <br /> n., . I �::,r Ili,m � � •.. t I�� :wc up •lopr ��rnp�ii)' lin:� rn f��und.di�qi uor clo••,r �b�m I!; icci It� an� /� <br /> � ,,�n, I„���� ��ro���•ii� Itnr cn I'ound��inu � '.dl I'uLlic 1Gurk, tor sm m.�rcc�ion �,rior to cm �rin�� ii� <br /> �� r��ii�� <br /> � �� �ncin.���r li�i ih�• �h��r� ��lat li}i� d�tcnnm�d th,d Ili�• U:�nch dmicnGion•• �hould h • <br /> � i i,1 � t�� �ri'll�t <br /> 1 Ib .�.. �n I�I�• f1�1' ° °III�II Il$1I'fP� �� •�•I Ill'IIIRn�•II1Pllf �q';IC11CPc �c ul:ttP(� Iil �CChO❑ '- � � n� I�1�` r�l�� <br /> � . �,.i� .�n.� � r��r�in�rl�c•h '�,I.nill:uil� �ciil '�.��.�:�f�cnlloll• I�q I!r� C�o��lurl�l (f11171c��P��i <br /> yF � <br /> � :.y � r <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby eprees to hold end aevo hartnless <br /> /r Ihe Clty ol Everett Irom any and ell clalms lor damages,iosta,expanses,or <br /> Appro e lor Construc io-���� -/ �e Z i—� - causes ol actlon that may atlse because ol Installatlon and malntenence ol <br /> the improvement or othar righl-of-way use heiato epplled lor end lurthar agrees <br /> � � Qe- ' ����- to ramove sama upon notice from the CNy end to replace public pro•aerty <br /> �C(�1G-�� damaged thero . <br /> FINAL IKSPECTION Date <br /> Approved as Construcled `.� <br /> (// ��'� 7� <br /> igna u olApp�icant Dale <br /> WOFK AUTHORIZED BV THIS PLRMIT MUST 8E STARTEO WITHIN I80 DAVS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAV BE CANCELLED BY THE CITV UPON ANY STOPPAGE OF W'ORK ON THIS PROJECT OVER 90 DAVS OURATION. <br />