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�� POSTING �UN l�y <br /> �erY��� App�iwtian For 10�22�97 <br /> PUBLIC WORKS PERMIT �te_ <br /> PUBLIC WORKS DEPARTMENT �ublic Works Permit M 1 7�� I <br /> 3200 Cedar Street W <br /> Everett,WA 98201 259-8010 ��Iding Pertnit�_ 56854 <br /> t <br /> IYPE OR PRINT ONLY Pu�c Works Fee$ � <br /> �� L70000L700 �7 <br /> 4lfi L� OOIf� O �t OOCJ 47 <br /> �� M �+ C� .t' O .yO �OID M <br /> CARL EDMINSTER CJNST 19015 FIR�S�_WfA'P N �'8Ei44T�E� 98�-33 542-9231 <br /> Owner Mailing Address � City ^{ �`� Zjg Phone <br /> o a- J <br /> OWNER <br /> ~ d � 2 Z "��� W JI� <br /> Applicant Mailing Address � �-+ � � �I 3 �-+ o Zip Phone <br /> cv � � w �' <br /> ,�xeu. wz �noavwi � F� <br /> Describe ProRosed Work *1EW xOUSE - BASIC 1250 ■ ■ ■ <br /> W <br /> � <br /> � <br /> PROJECT ADDRESS(if known) 2 ��` - ��� LOT 4 SHORT PLAT 6-96 � <br /> Atlach four(4)copies of plans for proposed work-Drew to scale and note lhe following if applicable: � <br /> •Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities O <br /> •Centerline of street •Indicate North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2.All work shail be pertormed in accordance with this pertnit 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 1-800-424-5555. � <br /> q'. �►�r,r,� t�F-4�,� n�� o�f-F !� .�r►� d�,v► ►r�szh �,.ov;ded O <br /> oh lot . <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save hartnless <br /> � l4 Z the Cky of Everett from any and all claims for damages,costs,ezpanses,o� <br /> Approved for Construc' n Date causes of action that may arise because of installatbn and malntenance ot <br /> . the improvement or other righl-o6way use hereto applied for and further aprees <br /> (, ,���,, :. to remove same upon notice from the Cky and to replace puUic property <br /> /C.���e.� ''!.-''� S� �•S B damaged there6y. <br /> }'IN�L INSPEC ON Date <br /> Approved as Constructed Q <br /> Signature of t ` Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMR IS ISSUED AND THEREAFfER IS TO BE DILJGENTLY PURSUED TO <br /> COMPLEf10N.THIS PERMR MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 DAYS W WITION. <br />