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Date August 15, 1985 Pubib,Works Porrd* <br />Application For slog. Dept r <br />PUBLIC WORKS PERMIT ��3 PubThc Works <br />o IFeeFee s�40 <br />Loss Fee Pala S <br />galarce D Due � <br />Print or Type Only <br />Arnold p Kegel 9800 Evergreen Wav FyPratt WA gst?na 353-1119 <br />Owner Mailing Address City Zip Phone <br />Kegel & Associates INC 9800 Evergreen Way Everett WA 98204 353-1119 <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work --- <br />Construct Curb Gutter Sidewalk and asphalt street shoulder <br />Project Address (if known) <br />M. <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: <br />• Property Lines • Centerline of street <br />• Outline and dimensions of all existing and • Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259.881 5. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424.5555. <br />//. <br />everett PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259-8815 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />z <br />0 <br />0 <br />am <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims for damages, costs, <br />expenses, or causes of action that may arise because of installation <br />and maintenance of the improvement or otrrer right-of-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />WORK At1THORIZE6 BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TC <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />z <br />0 <br />m <br />r <br />Z <br />O <br />