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/ � <br /> �0 POSTING �'�5.�;-3��- 5 q2 Z <br /> Date 6 1 2 PublicWa�hiParml . <br /> � 61Cp Depl.• <br /> Appliwtion Foi <br /> PUB�LIC WORKS PERMIT PUOTotnFeeFeQ = � <br /> Lass P001 Foe PeiE S <br /> ' ' ' ' Balanca Dua S �� <br /> Print or Type Only <br /> Hecht / 5abe1 ; 3502 Oakes Ave li2 Everett 98201 252-1641 <br /> Owner Mai{ing A{ldress„ �' � '� City�,. Zip Phone <br /> � . <br /> Steven Hecht 355-2347 <br /> ApplicaM Mailing Address City Zip Phone <br /> Describe Proposed Work NeW ConstZuctia�— �FR - <br /> W <br /> Proiect Address lif known) <br /> 3521 Friday Ave H <br /> Attach lour(4) copies o1 plans lor proposed work- Draw to scale ani note the lollowing as applicable: � <br /> � Property Lines • Centerline ot street � <br /> • Outline and dimensions ot all ezisting and • Indicate North <br /> proposed structures onthelot • Show any proposed grading changes <br /> • Existing und proposed utiiities • Show measuremenis M <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDiTIONS <br /> t.All calis tor inspection shall be made 2a hrs.in advance-phone 259-8810. � <br /> 2.All work shell be peAormed in accordance with this permit and current City ol Everetl 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 /> `{'r ��e�.�l �Y'i"..i-��...�--� sl�w, 1 � c✓� �n� � 5�� 307. 4 <br /> �� �4-n� (� lce.vi �✓ �a,,r+u��d s/`.���.,a ( E s 1.., // �-�c � <br /> /�e�l�c ad af �(,J /vr S,�ec-lr,t-s d/)-�e o¢-iTi-�. � <br /> / O <br /> � • (.�,.�S;�?�'��fr Sl���� � e�r-,tiec-f� c� se de sc�,� a <br /> i <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �p The undersigned owner/appiicanl hereby agrees to ho�d and save harm- <br /> less Ihe City ot Everett Irom any and all claims for damages, costs, <br /> G��� [""' — ezpenses. or causes ol action thal maY arise because of installation <br /> � �_ /C—c�J and maintenance ol the :mure•�ement or other righ4ohway use hereto <br /> J �` applied lor and lurther agrees lo remove same upon notice irom the <br /> Approved for nstruction Date �����replace�blic proPe��Y damaged thereby. <br /> / Il <br /> �'P//19Qv, /.�-/C-� z- •TI �-I 3-q Y <br /> � �����.X <br /> FINA TFJSPECTION Date Dale <br /> Approved as Consiructed Sign ture ol Applicant <br /> WOF K AUTHORI2ED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMtT IS ISSUED AND THEREAFTER IS TO <br /> �� 3200 Cedar Streel BE DILIGENTLY PUFSUED TO COMPLETION.THIS PERMIT �1AY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK CiN THIS <br /> Phone:259•8810 PROJECT OVER 90 DAYS DURATION. <br />