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�' Plicationior (.^ <br /> ���� PUBLIC WORKS PERMIT Date <br /> PUBLIC WORKS DEPARTMENT Public Works Permit N <br /> 3200 Cedar Siree! <br /> Everatt,WA 98201 .!59-8910 Building Permit N _ <br /> TYPE OR PRINT ONLY ' ' " "' ks Fee S <br /> Plsn Check No� 8 53661 SEPA <br /> App11cat.Detei 12 03/96 <br /> 3ob Addreee: 10 W CASINO RD <br /> Owner Owneci RUNREL JONN/ROHYN Phone <br /> Tenents <br /> Propoeed Uees DUPLEX <br /> Deec. of Work: <br /> Applicant ' <br /> FOUNDATION FOA DUPLEX BEIN6 MOVED TO SITE phone <br /> OFFICE SET JOB SET <br /> Describe Proposed Work _ <br /> APPItOVED FOR PERHITi DATE_/_/__ BY <br /> — � <br /> � <br /> � <br /> PROJECT ADDRESS Qf known) � <br /> Attach four(4)coples of plens lor proposed work•Draw to scale end note the following il epplicable: O <br /> •Property Lines 'Outllne and dlmenslons af nll exisling and proposad slructuras on the lot •Existing end proposed ulilitles <br /> •Centerline ol street •Indicato North •Show eny proposed prading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1. All calls for'nspection shall be made 24 hours In advance- phone 259-8810. O <br /> 2. All work shall be pertormed in accordance with this permi� and current City of Everett Design and � <br /> Constructlon Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1•800-424-5555. � ; <br /> i <br /> �/ � <br /> ,�o � j�rM ;-�- IPcB�,v�d . a , <br /> � <br /> ; <br /> 1 <br /> , <br /> ; <br /> , <br /> � <br /> i <br /> � <br /> ACKNOWLED(3EMENTOFCONDITIONS E <br /> Tha undersigned ownedapplicenl hereby aprees to hold end save hartNes� 7 <br /> Iha City ol Evere�l Irom eny end ell cinima lor damagee,r.osts,axpenses,c �� <br /> Appioved foi Construction Data causes of action lhat may erise because ol installetlon antl maintenance c <br /> the Improvement or other right-of-way use herato applied lor and fuAher agree� <br /> to remove same upon nolice Irom the City end to repleca public propert; <br /> tlameged thereby. <br /> FINAL INSPECTION Dale <br /> Appm�ied es Constructed <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STAR7ED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEI'ION.THIS PERMIT MAY BE CANCELLE�BY THE CITY UPON ANV STOPPAGE OF WORK GN THIS PROJECT OVER 90 DAYS DURATION. <br />