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. � _ , ' i <br /> Appliwlion Por <br /> Date 6-17-99 <br /> PUBLIC WORKS PERMIT �g <br /> Public Works Permit q <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Evarett,WA 98201 (425)257•8810 Building Permit H �Z80 _ <br /> TYPE OR PRINT ONLY �p POSTING N�V 0 9 2001 Public Works Fee S 7iD � <br /> Steve Herbst 11919 273rd Ave SE Monroe 98272 360-'/94-4495 <br /> Owner Mailing Addross Ciry Zip Phun= <br /> Owner <br /> Applicant Mailing Address Ciry Zip Phone <br /> Describe Proposed Work new house W <br /> � <br /> V/ <br /> PROJECTADDRESS (if known) ✓G� Frida Ave W <br /> Atlach lour(4)copies plans lor proposed work•Draw to scalo and note the following il applicable: O <br /> •Propeny Lines •Outline and dimensions of all e■isting and proposed structures on the lot •Existing and proposed utiliUes � <br /> •Centedine ol street •Indicate North •Show any proposed grading changes •Show moasurements . <br /> DO NOT WRITE BELOW THIS LINE Z <br /> PERMIT CONDITIONS: O <br /> t. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be periormed in accordance with this permit and current City of Everett Design and � <br /> Construction Standards and Speci(ications. , <br /> 3. Call Location Underground Service 48 hrs. before you dig.TOLL FREE NUMBER 1-800-424-5555. /A <br /> L�♦ <br /> �, �v�nu.� ►�ofkoP runO�F � Sic�� 5-uaJ� O <br /> 5. ��de ��-�- Pr�- s�a -��o�, �oz �roo� <br /> a � <br /> �• �� 1�I� Cur.� ���' � 5 i c�c w.-t 1�C Q�, �j,�- �rDpYi✓'f��I <br /> / <br /> -�!I ����e ��- �� �30� } 30� . <br /> �� �' <br /> / ACKNOWLEDGEMENT OF CONDITIONS <br /> / Tha undarsigned owner/applicant heraby agrees to hold and save harmiess <br /> i� � a the Ciry ol Everett from any and all claims for damages,costs,expenses,or <br /> ppro or o i c i a o causes of action that may arise because of installaBon and maintenance of tho <br /> �� improvement or other righl•of-way use hereto applied for and lurther agrees to <br /> � � � ) / rem ve s a m e up o n n o t i e I r o m t h e C' d t o r e p l a c e p u b l i c p i o p e r ry d a m• <br /> � /o` —�C�— O� nge t ereby <br /> FINAL INSPFCTION Date � <br /> Approved ae Ccrctmcted �7'� <br /> ig ure o p i an a e <br /> VVpFiK AUTHOFIZED BY THIS PERMR MUST f3E STAHfED W17HIN 1B0 DAYS OF DATE PERMR IS ISSUED PND il if::�iEAFiLR IS 10 BE Dp.!GENTLY PURSUED'N <br /> (,'OMPLETION.THIS PERMfT MAY BE CMICELLED BY THE CfTV UPON ANY STOPPAGE OF N�OFlK ON TN�S PRQ1tCT OVER 90 DAYS DliR.4T10.�1. <br />