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.� <br /> nPo��caron For 12/30/96 <br /> PUBLIC WORKS PERMIT Date__ <br /> PUBLIC WOFKS DEPARTMENT Public Works Pertnit q _���W I <br /> 3200 Cedar Street ��p�� <br /> Everett,WA 98201 259-8810 Building Pertnit N_ v — <br /> TYPEORPRINTONLY � !� POSTING �O� PubiicWorksFe�3S�C�/----- <br /> EDWARD SODERMAN 6825 S CEDARBOL�GH I.00P AR N�N Z9fl2?3---P o��+e_aRoz <br /> ��Nner Malling Address City <br /> Applicant Melling Address City Zip Phone <br /> Describe Proposed Work NEW HOUSE W <br /> � <br /> �//� <br /> V♦ <br /> PROJECT ADDRESS(if known) _:1 a,.?�:TNnT ST i nT � cHnu�' p� �T �°- b /� <br /> W <br /> Altach four(4)copies ol plans lor proposed worl<-Drew to scale and note the'ollowing H eppliceble: O <br /> •Propeity Llnes 'Outline and dimenslons ol all ezlsting end proposeA structuras nn ihe lot •Exlsting and propo,ed utllities <br /> �Centerilne ol streel •Indiceta North �Show any proposed G��+�ing chenges �Show measurements � <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. O <br /> 2.All work shall be performed in accordance with this permit and current Cfty of Everett Design and <br /> Construction Standerds and Specitications. � <br /> 3.Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-424-6555. <br /> �7• Connr� �f-�oP o�w��vts � s;r�se�r. � _ <br /> � <br /> 5, � /��u9tf�.� �lde ��st !x i�s��/��n �lre 5��las�,.rf a. <br /> �Q/J/,�,rG'v/A� Z��iS �O!/Se, 01/31/97 5-'.QF'4 _1,�;1='''!"i: <br /> / <br /> EtU0053854 <br /> ELDS �541.LJ <br /> ^`� 4���.00 <br /> ""ECH 430.Cil <br /> SRCHRG i4..�� <br /> ;F:v�v s�o.ao <br /> n x00�309'+A <br /> /y��� SEWEE 270.00 <br /> �- S!'SDEV E _'O1.OQ <br /> ACKNOWLEDGfM�NT O��HDI7�ONS <br /> The undersigned owner/epplican��Fiereby agrees to�old end save harmless <br /> / �• the City of Everntt irom any and nll clalms lor dameges,costs,expenses,or <br /> causes ol action that may urise because of Installation and melnlanance ol <br /> qp v dior onstN lo �1e thelmprvvementorotherright-of-wuyusehereloappliedlornndfurtheragreos <br /> � to remove same u n not e Irom the City and to replace public propoAy <br /> FINA�� 3_ w _ y) demaged th ro6y. <br /> � i�— <br /> ECTIO Dale �y/ <br /> Approved as Conslructed �� / / <br /> Signature ol Applicant Date <br /> OMPLEf10N.RTFIIS PERTMT�MAYiBE CANCE B ED BVTHE CiTV IUPON ANY SOTOP AGE OF WORK ON THIS PRO EC OV R 70 DAYSFDULRP710N.Y PURSUED TO <br />