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t. � <br /> PUBLIC WORKS PERlVIIT °�° ' ' �"�°8 G1 — <br /> �C��!� PUBLIC WORKS DEPARiMENT Pudk`••','�'�!��PertnR N G 8/Z 1� <br /> 3200 Cedar Street �'? <br /> • e��n,WA 98201 zss3-a�$O�i e�ia�og �, n M 69�Q3 <br /> TO POSTING �^"_�— � <br /> TYPC=OR PRINT ONLY ..,, ., > -� Pu41k Works€�e S�� <br /> - ' i =� .,. �u <br /> .r� � , . :` .;' ; _ . rn <br /> -� � ��. . -y ,. ri r� Y,� <br /> JESSOP ENTERPRISE 205 W CASINO RD; ^EV�RE'1'T 9820b � �� ��; -; <br /> Owner Mailing Address ' ' Ctry Zi�' '', �r Phone <br /> :�, <br /> a �- i <br /> CONTACT: GARY JESSOP 425-347-5980�� , �:' !" •"� �i= • ' •' <br /> , ;_ <br /> Anpticant Mailing Address � - -: `(3tr? ',, t i ZiR �;. Phone <br /> `.'�-::. ,�, . _ :- �nr.i �n .a -�� 0. <br /> Describe Proposed Work NEW HOUSE � <br /> --- � <br /> � <br /> ----- � <br /> PROJECT ADDRESS(if known) I S G l e��wc� ,4� LOT 2 SY.ORT PLAT 9-89 � <br /> Atlach four(4)cooies of plans fer pioposed work•Draw to scale and note the following it applicabte: O <br /> •Prope�ty llnes 'Outline and dimensions ol all existing and propcsed slructures on the lot 'Existing and proposed utilities <br /> 'Centerline of street •Indicate NoAh "Show any proposed grading changes `Show measureme its � <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 shall be performed in accordance with this permit 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 1-800-4245555. � <br /> " I' . Cov►nevf� mo��op Nhc� 1� S�:orwl drTnihZ��G �u� � <br /> prav��ed ov� (ob . O <br /> 5 , P,�dhGrt � sev6�or� 2-Z.2 o-F �hG o;� dC,valopmc.�. � <br /> S�n�t,rdS (Smzll ��GGI Grt�SjOn C,Oh�dl� � Go� A'�tC.�+ed <br /> ACKNOWLEDOEMENT OF CC4DIT10NS <br /> The undeisfgrred owner/epplicant hereby agrees to hold and save harmless <br /> the City o(Everett Bom enY and all claims tor damages,costs,ezpenses,or <br /> Date causes of actfo�that may arisa because ot installatbn and maintenence of <br /> Ap rovedPor o f(uc.tion theimprovementaoMerripht-o6wayuseheretoappiiedforandlurtheraprees <br /> to remova same upon fiom the City and to replace puWk propeAY <br /> �j /�_ Z ��� damasad tnerety. <br /> FINAL INSPECTION Date IQ��9 <br /> Approved as Constructed <br /> Signature of � <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WfTHIN 100 DAYS OF DATE PERMR IS ISSUED 1HERFJIF7ER 9E DILKiENnY WRSUED TO <br /> COMPLEfION.THIS PERMIT MAY BE CANCELLED 6Y THE CIiY UPON ANY STOPPAGE OF WORK�NI TH�S PROJECT OVER 90 DAYS a1RATI0N• <br />