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,...,.�...� . _� . s. <br />' __ .. _ . <br /> il <br /> � <br /> '�� <br /> 5/23/94 <br /> Date PobliC WodS Pprmil s �/ <br /> Application For emy.oeui., <br /> PUBLIC WORKS PERMIT P��°=W��k=FCe — <br /> TolTl Fee 5 <br /> Less 4pot Fee Pao S <br /> Print or Type Only Balan�e0ue s �/.S°o <br /> Uoz -.jZ2�o/8.3''.�/ <br /> Athena Doolittle 10312 Hiway 99 S Everett, WA (206) 353-4844 <br /> Owner i�laiNnc Address Cdy 7_ip Phone <br /> Same <br /> Applicant rna�i�na Address City Zip Phone <br /> Describe Proposed work 80 yards fi11, rzradine a vacant lot <br /> --- -------- � <br /> Project Address�if knowN �n3 i� Fvgrg�e�j,]gv L <br /> Attach four(4) copies of plans lor proposed wo:k� Drav: to scaL�ann note the toilowing as applicable: � <br /> • Property Lines • Centerline of street /w <br /> • Ou�line and dimensions ol all existing and • IndicatF Nor�h V� <br /> proposed slructures onthelot • Show any proposed gratlinc� changes <br /> • Existing and proposed utilities • Show measurements � <br /> CO NOT WRITE BEIOW THIS IINE <br /> PERMIT CONDITIONS O <br /> t.All calls lor inspection shall be made 24 hrs.in advance-phone 259•8810. � ' <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and Caistruction <br /> / Standarus and Specifications. <br /> �� 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800-424-5555. � <br /> �' 4. Th= wetland area should be cleaned of all debris, i.e. , old tires, discarded <br /> 1nmUer, concrete blocks, and litter. � <br /> ( -/S-9s� � <br /> ,� P/'G�c�`i �vT S�1�0 1>t-132is /f i[/oi o�t/ f/i=.2 v� <br /> �z���E''�r�. 1 %aCb h/E-2 Sf�F ONcy //q I� � � <br /> T �,�,� .U� ��B,�;s o�s/ .Si�.e o�,� �,zo,�,=� n,. � ; a <br /> Sh�E SAiO SN� s/H� T.c.�F_ N C�9-2E oF /T c �c//v , L_ <br /> ACKNOWLE�G[MENT OF CONDITIONS <br /> The undersigned owner/applic2nt hereby agrees to hold and save harm- <br /> --� j less ;he Cdy ol Everett Irom any and all claims for damages. costs. <br /> . � — � expenses. or causes of action that ma/ aris? betause ol installation <br /> � � d maintenance n! the improvement or other righl-of-way use hereto <br /> �'— appl�ed tor and furiher agrees lo remove same upon noNce from ihe <br /> Ap roved Constru � n D' �: i C�ty ard to replaca public proper;y damaged thereby. <br /> I <br /> i <br /> FINAL IIJSPECTION � Date I <br /> Approved as Construc;ed Signature of Applican! Date <br /> PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 7A0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> � Everett,WA98201 aE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> � Phone:259�8F310 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATIC�N. <br />