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� <br /> qpp�icauonFor Da�e 8/12/99 � <br /> � PUBLIC WORKS PERMIT public Works Permit 8 0 <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett, WA 98201 (425)257-8810 Building Permit# C99Q8—010 <br /> T;'PE OR PRINT ONLY TO POSTIN6 .�uN o 5 2ooz public Works Fee$ 1� <br /> HERBST STEVE 11919 273RD AVE SE MONROE 98272 360-794-4495 <br /> Owner Mailing Address City 2ip Phone <br /> CONTACT: SRIAN SPERBER 425-258-8106 <br /> Applicant Mailing Address Ciry Zip Phone <br /> Describe Proposed Work _ NEW HOUSE W <br /> � <br /> � <br /> Y/ <br /> PROJECTADDRESS (if known) �.VLJ FRIDAY AVE W <br /> Attach four(4)copies plans for proposeu work-Draw to scale and note the lollowing if applicabie: O <br /> •Property Lines •Outline and dimensions ol all ezisting and proposed structures on tho lot •Existing and proposed uliliUos � <br /> •Centerline of street •Indiwte North •Show any proposod grading changes •Show measuremenls <br /> DO NOT WRITE BELOW THIS LINE Z <br /> PERMIT CONDITIONS: O <br /> 1. All calls tor inspection shall be made 24 hours in advance- phone (425) 257-8810 <br /> 2. All work shall be perlormed in accordance with ihis permit and current City of Everett Design and � <br /> Construction Standards and Specifications. <br /> 3. Call Lxation Underground Servicr. »8 hrs. betore you dig. TOLL FREE NUMBER 1-800-424-5555. /A <br /> ♦/♦ <br /> `�� �ti �� ��� �I��►.c�u{� �o/�z/�� � <br /> j� I v+5��� S;�ecv� 1 lC ,�s � s�� P�z-h �3v6 . �';Uec,�h7 a <br /> p� � �308 � <br /> � <br /> , <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> /�� �O//�/�� The undersigned ownerlapplicant hereby agrees to hold nnd save harmloss <br /> the Ciry ol Everett irom any and all claims for damages,costs,expensos,or <br /> ppr�ve �r on�c io� a e �uses of action Ihat may arise bocausu ol installaGon and maintenance ol the <br /> / improvemont or otl�er right�of•way use hereto applied for and fuMer agrees to <br /> �/ �.*�C�� .'� / ag Vhe ama u no'ce Irom M ' and to replace public properry dam- <br /> / "U Z <br /> AppAovedSasEConls�trNucted Data lo ��' A <br /> 1 <br /> igna ure o p e n e <br /> RK AUhIORIZED BY THIS PERMfT MUST BE STARfED WIhiIN 1B0 DAYS OF DAiE PERMR IS ISSUED AND T}EREAFfER IS TO BE DIIJGENTLY PURSUED TD <br /> PLEf10N.THIS PERMR MAY BE CANCELLED BY THE CfTY UPON ANY STCJPPAGE OF WOFiK ON TH1S PRO.ECT OVER 90 DAYS W RAT10N. <br />