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�� <br />.. . _ _ <br />— <br />� -- <br />, <br />t�o�Fo, 6 24� za�- � <br />���� D�I�Q�� � KS PERMIT Date_�/ " J-- �� <br />� 'PUBLIC S DEPARTMENT Public Works Pe!mN q % <br />lJ� J U iJ � 6�Q9 s2 a� s,�t <br />� Eere�t, WA 98201 259-8810 Building Permil # I <br />.. ..................................................... TO POST�NG ��-�; 2 8 1998 � <br />CITY OF EVER�TT 7� j <br />IYPE OR PRINT ONLY B�d� permit Count�r Pu6iic Works Fee $ ���S� � <br />►�,�E.. �, ��� z!s S� �.,��f-,-i--- r.1�.�� 4� 1a-�, �� <br />Owner Mailing Address y Zip Phon� <br />Describe Proposed Work <br />S. <br />PROJECT ADDRESS (if known) ^ <br />City Zip Phone <br />r <br />Z 3 S v✓ �vc°,+''e—�+ Wl� � I <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applic�6le: <br />' �� Y�Yt-2 <br />•Property Lines 'Outline and dimensions of all existing an� propose�i structures on ihe lot •Existing and proposed utilities <br />•Centerline of street •Indicate NoAh •Show any proposed grading r.hanges •Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All cails for inspection shall be made �4 hours in advance - phone 259-8810. <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 1-8Q0-42.4-5555. <br />� ! = °y ��'ov-ed /4�r+s �JLr� � - 5 J� � <br />/ <br />� /�}��'-�iJll.l 6%i2l4+atNGS �A+�c �VOt �?EEi✓ �C"u3iK�TEO <br />70 7e�L- CL � i AS oG b-zs -58� ,eA- . <br />il/OS/'t6 5�45F'M <br />/ <br />#D004b.?BS <br />PWiREV 4�70.30 <br />816E9.40 <br />21954.70 <br />PW/ ItIS <br />CHECf: <br />� <br />O <br />♦�� <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned o�vner/applicant hereby agrees to hold and save hartnless <br />the City oi Everett from any and all clafms lor damages, costs, expenses, or <br />causes o( action that may arise because of installalion and maintenance ot <br />the improvement or other right-of-way use hereto applied for and fuAher agrees <br />to remove same upon notice from the City and to replace public property <br />d i ereb . <br />j/�"-9� <br />ignatureo(A lica ! Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br />COMPLE710N. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />