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d0 POS�TIN� °� 1 s '� � <br /> � �Ica�bn F — <br /> PllBLIC VIIORKS PE M T �Se��'6/96 <br /> PUBLIC WORKS DEPARTMENT Public Works PermR N 7 <br /> 92J0 Ceder Street <br /> Everett,WA9820: 259•8810 BuildingPertnkN S�geq <br /> '<6h. � �"'u�o a,+°a d;lw . 30 <br /> TYPE OR PRINT ONLY y-�,Q�� M f t�C. 1i�'�l'firai. Public Nbrks Fee S �77� — <br /> t.Ta .9�c Rfeo a.y�Bu-!o�.l�.r�.•7� <br /> HOUSIfiG HOPE PO BOX 7823 EVRETT 98201 <br /> Owner Mailing Address CHy Lp Phw�e <br /> JERRY SI'ICKNEY 623-110� <br /> Applicant Malling Address C!ty Zip Phone <br /> Describe Proposed Work NEW MULTI-FAMILY COMPEX __ � <br /> 10/04/96 12:03PM BD �I# <br /> / � <br /> MOD096373 /A <br /> OTNER 576.20 V/ <br /> PROJECTADDRESS(if known) 7 — P6►/REV k33�80 � <br /> Attach four(4)copies of pians for proposed work-Oraw to scale and role the folbwing ii applicable: ��� s1461.3� <br /> CHECF: f1771.30 <br /> •Property LJnes 'Ouiline and dimensions of all existing and proposed structu�es ori the lot •Existing and proposed utllitles O <br /> •Centerline of street •Indicate NoAh 5how zny proposed grading changes 5how measurements � <br /> DO NOT WRITE BFLOW THIS LINE <br /> PERMIT CONDITIONS: z <br /> 1.All calls for inspection shall be rr.ade 24 hours in advance- phone 259-8810. O <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-6665. � <br /> � �O�'iF � � �r�c �r f�orls' cc��p�o��ol V♦ <br /> D/J �D-3 -96 � /'iC C/Y� �i3OC/G l./Or�s I�ePf. O <br /> � �'�e� Sfi^�e f-s CLea/� aJ� �.LL f..Y,cs a <br /> o�., Tis �ro✓i�C7� J'`ja�l �d`ier� fo �he Deiof of �1/ieri�S <br /> �/��ra ctLio �r fecf r9��✓� COh�7/O'!tl <br /> �� PLr<<-' �l4/�hia —T G%m �745 /"Gli/tcJ `4l7S. <br /> ACKNOWLEDGEMENT OF COND�TIONS <br /> The undersignad owner/applicant hereby agrees to hold and save harmless <br /> � �_ tho City of Everett from any and all clalms tor damages,costs,expenses,or <br /> Ap rove o on Date causes of actlon that may arise because of Installatlon and maintenance o1 <br /> the improvement or other righ4of•way use hereto applled fo�and further 3grees <br /> to remove same upon notice fmm the CM and dece blic property <br /> � � damaged thereby. <br /> FINAL INSPECTIO ate <br /> Approved as Constructed <br /> Slgnatu ic n Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMR I SSU D hiEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF'�� IS PROJECT OVER 90 DAYS WRATION. <br />