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�...�.. :,.�_._ <br /> Date 8�24/93 �� <br /> Pu�bc Woiks Permit• <br /> Application For BIOp Depi.• 4U94 <br /> PUBLIC WORKS PERMIT P�b�,�Wo,ks��a — <br /> Tolnl Fee S <br /> Leis Appl Fee Paie $ <br /> Print or Type Unly ea�a��eo�a s <br /> Ken/Linda Vaughn k633 Glenwood Everett 98203 353-7161 <br /> Owner Mailing Address Cit <br /> y ZiP Phone <br /> Everett Builders 19010 61st Ave NE ll3 Arlington 353-7161 <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work — Gaiage and addition <br /> i <br /> Project Address(if known) � <br /> Attach four(4)copies ot plans lor proposed work- Draw to scale and note Ihe following as applicable: � <br /> • Proper�y Lines • Centerline of street � <br /> • Outline and dimensions of all existing and � Indicale North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.Ai�calls lor inspection shall be made 24 hrs.in advance•phone 259•8810. � <br /> 2.All work sheil be performed in accordance with this permit and current City of Everett Design and Constructlon <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.belore you dig.TOLL FREE NUMBER 1•800-424�5555. � <br /> PUBLIG WORKS PERMI'� O <br /> NOT REQUIRED � <br /> BY �/� <br /> onrE� �� 9� V� <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersignetl owner/applicant hereby agrees to hold and save harm� <br /> less the Cily ol Everetl Irom any and all claims for damages, cosis. <br /> expenses, or causes of action ihat may arise because ot installation <br /> and maintenance of the improvement or other right-of•way use hereto <br /> Approved lor Construction applied for and further agrees to remove same upon notice from the <br /> Date City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Consiructed Signature of Applicant Dale <br /> ��r� PUBLICWORKSDEPARTMENT WORI( AUTHORIZED BY THIS PERMIT MUST BE STARI'ED WITHIN <br /> 3200CedarSlreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everelt WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> i Phone:259-8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br /> II <br /> il <br />