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Date 4-�6-93 TO POSTING • `'`� <br />Application For ... — _. <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Pub�m Worts Perm� a �� /� � <br />e�e9 oem • 40265 <br />vubhcwo�kt�m s <br />TVInI iee <br />less RnO� Fee PeiE s <br />Babnce Dee <br />f 2C O.� <br />D �2 -3ZZf� a // .p3 / <br />Mel Forrey 5026 Colby Ave Evere[t WA 98203 258-3544 <br />Owner Mailing Address CAy 7_ip Phone <br />O�mer <br />Applicant Mailing Ad.ress City Lp Phone <br />DescribeProposedwork 8arage with new driveway and elimination of existing drivewaY <br />P�oject Address �il known� 5026 Colby Ave <br />aeeach Inur 141 cooies ol plans lor proposed work - Draw to scale and note the following as apphcable: <br />• Pioperty Lines <br />• Outline and dimensions ot all exisung and <br />proposed siructures on �he lot <br />• Existing and proposed utildies <br />• Centerline ol street <br />• Indicate Norih <br />• Show any proposed grading changes <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All cells for inspection shatl be made 24 hrs. in advanr,e - phone 259•8810. <br />2. All work shall be peAormed fn accordance with this permit and current City o1 Everett Design and ConstrucUon <br />Standa�ds and Specificetions. <br />3. Ca�l Location Underground Service 48 hrs. belore you dig. TOLI FREE NUMBEP 1•800-424•5555. <br />,C' �x���"� „ 1��.,-,...n��i a�....ai /tc�� <br />y ��cc�,� Cun�•O�. �� � /'- a� <br />W��� �/��,� .%�,c�/�c�.�.16. f;.r,s-t�;,,�- ct�-�6 �==-1` !�% <br />v { <br />0 <br />� <br />�,,.,�' cv��.c'���y • <br />5, �2p� d���-•�� <br />�;-,,,1'u ��� 30 7. <br />° �c � 1 <br />.�y(«u' G.� ��v����.-� ,¢r�y � <br />� ! �f C�c '� � 5N' /`� �' <br />Approved lor C nsiruction Date <br />/ <br />Approved as Consiructetl <br />��PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259�8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />� <br />� <br />� <br />O <br />� <br />� <br />0 <br />a <br />The undersigned owner/applicaM hereby agrees to hold and save haim� <br />less the Gity o1 Everett irom any and all ctaims for damages, costs, <br />ezpenses, or causes of aclion that may arise bccause of installaGon <br />and maintenance ol the improvement or olher ngM-ot�way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace publiy�property damaged there6y. <br />Signa� �felol A`pPlicant "".' <br />WORK AUTHORIZED BY THIS PE IT MUST BE STAR ED WITHIN <br />180 DAYS OF DATE PEFMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PUFSUED TO GOMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANV STOPPAGE OF WORK ON Tk115 <br />PfiOJECT OVER 90 DAYS DURATION. <br />