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�. :s ,�f; AF'R l 8 1997 / <br /> � : APPI¢ation For T pp, � ! . <br /> PUBLIC WORKS P RMIT oate_ 12-20-96 <br /> PUBLIC,WORKS DEPARTMENT Public Works PermO N �����_ I <br /> 8�00 Cedar Sireet , <br /> Everetti_�JA 98201 259-8810 � <br /> � Building Permit M 53812 <br /> p OC1 [� (� `� r.� C� r� <br /> Y 01 C? o If'1 f,� C� r.i Gl t' <br /> TYPE OR PRIIJT ONLY ° ' ' ' ' ' ' ' ' ' Public Works Fee S 7�J� <br /> ��� h �1 d M � O f.] _— <br /> � P P <br /> U'I lw � � .+J N f 1 C. <br /> f'� M M r �� <br /> Tuat Rite Conet 8015 S��er1y Blvd �.�veP3tt '98201 290-1812 <br /> Owner Meiling Atl x Lh � 2(/�� o. C ry{� :� 2ip Phone <br /> C�'� Ca C.1 � f.5 �_l C�- p F-i [] 3 f W <br /> Same � 'r3 i.� r ih ,�i� `� � %� �,; 1, <br /> Appllcant Malling Ad' ss Clty Zip Phone <br /> Describe Proposed Work new house _ � <br /> — � <br /> ��/� <br /> — -- V♦ <br /> PROJECTADDRESS Qf known) 2429 Cheatnut St Lot 2 SP 032-96 � <br /> Attach fou�(4)coples of plana for proposed work-Draw to acale end note ihe lollowlnp il epplkable: O <br /> •Pr_party Unes `O�tline and dimenelons ol all existing and proposed structurns on the bt •Ezlsting end proposed u1111ties <br /> 'Cenlerline oi street •Indicato NoAh 'Show eny proposed greding r,hanges �Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1.All calls for Inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2.All wrrk shall be performed in accordance with this pertnit and current City ol Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> II � l�Oh�'Ef.� (�Of�� f7�� o� �o S;c�PSPi.��+� v+ <br /> O <br /> a <br /> y� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> / G`�s ���� The untlersigned owne�/applicnnl hereby agrees to hold end save hartn�ess <br /> / ��,� the City ol Everett Irom any and all clnims Por damoges,costs,ezpenses,or <br /> Ap mved lor C iction , Dnt causes of actlon that may adse because of Instellatlon end malntenance of <br /> the improvement or olher�Ight-ol-way use hereto epplied lor and IuAher egrees <br /> to remove e u n notice hom the City end to replace public property <br /> ( � 3_ y� _� dameged reby <br /> F AL SPECTI01 Date / <br /> I Applovod os Constructed ^� <br /> Ign ture ol ApplicaM ate <br /> WORK AUTHORIZED BV THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIOENTLY PURSUED T'J <br /> COMPLETION.THIS PERMIT MAV BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />