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� <br /> � � APPliwtion For 1�� pp STI N G FEB 2 8 1997 <br /> � ,r PUB�IC WORK$ pERMIT Date 8-14-96 � <br /> $PUBLIC WORKS DEpqqrMEryT �� <br /> �� 9200 Cedar Street Public Works Permit i1 <br /> Everett,WA 98201 259-8810 <br /> � $ g � g g Building pe�rt q 52573 <br /> TYPE OR PRINT ONLY � g g g g g <br /> � � � � .� � M � M � �ri� Public Works Fee$__�� <br /> Alfred Jubie 1821 h Dr �' <br /> Owner Mukil W� 9�� �q0-1456 Z3�-4p2'7�c�� <br /> ��NO9 dress qr�� �. <br /> �wner � � � .�i c5 � $ c.� �S Z�P Phone <br /> APPlicant ID� 3� � � � 3� � ����d c,za <br /> iling qddress <br /> City Zip <br /> Describe proposed Work new house Pnone <br /> ` — � , <br /> PROJECT ADDRESS(ff known <br /> , 9 z-c� ��- rk V� <br /> . Attach four(4)copies o}p��y for ro Lot 1 SP /C1202-9-96 <br /> P P°�Wo�-D2w to scale and note the foilowing if applicable: � <br /> •Property Unes �tline antl tlimenslons of all existing and pru <br /> •Centerline of street • Posed structures on the lot •Existfng and proposed utilities O <br /> Indicate North 5how any proposed gradin chan es � <br /> g 9 Show measurements <br /> PERMIT CONDITIONS: �NOT WRITE BELOW THIS LINE ' <br /> 1.All calls for inspeotion shall be made 24 hours in advance-phone 259-8810. <br /> 2•All work shall be pertormed in accordance with this permit and current City of Everett Design and � <br /> - Construction Standards and Specffications. O <br /> 3. Call Location Underground Service 48 hrs, before you dig. TOLL FREE NUMBER 1-9pp_qpq_� <br /> 4. RCriF-FoP rvr+e�' shcu�d l�e., d:n.cted -t� a�R�;dc„};�� ~ <br /> I�oo�F po���.� yys-Fuvt'• d�si ned e� � <br /> dnd as �- a.f..��hed d.e+a� I. 9 p ��°� 4-�'4 Q <br /> i�sfizt�l ed �.� �,�1�, cu sc.+�e.�+ �1- s�S�s+ n�{ b,�, a <br /> �d,e.. of loi: <br /> "�,:, <br /> B/`�/G� The untlersfgned owner/�appi c�an E ereby�a9�eesNolho d nd save hartnless <br /> �PfOV�fo� stnrctlo � � � the Clty of Everett from any and all claims for damages,costs,expenses,or <br /> ate causes of action that may a�se because of installation and maintenance of <br /> . the improvement or other right-of-way use hereto app�ie��or end further agrees <br /> to remove same upon notice fmm the City and to replace public prope <br /> FINAL INSPECTION �—�s/ tlamaged thereby. rty <br /> 'MProved es ConslructeC Date <br /> � <br /> gnat of App cant <br /> WORK AUTHORIZED BY T}{�g pERMIT MUST BE STAHTED WITHIN 180 DAYS OF DATE pER IT IS ISSUED AND THE EAF7ER IS TO 8E DILIGENTLy pURSUEO TO <br /> COMPLETION.TH�S PERMIT MqY BE CANCELLED BY THE CITY UPON Ai�Y SiOPPqGE OF WORK ON THIS PqOJECT OVER 9p DAYS DURATION. �e <br />