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Date 5-18-94 �II 19� <br /> PuOi¢Worha Permit. <br /> Appiication F�r eiay.oeui.•�(y 1$ <br /> .-� <br /> PUBLIC WOR� PERMIT P�����W�.�,F�a <br /> Toiai cee 5 <br /> Less 4001 Fee Paia S <br /> Print or Type Only � g g 8 $ �, $ " $ $ � ea�,��e o�� s ZD� <br /> � uN°�i M � ."i� '�' « � .nn � v�"ti <br /> SJNDAY JOHN 4827 GLENW_O�P � EVERETT WA ~ <br /> �203 252-3069 <br /> Owner A9aitmG $4c1;e � � ,� <br /> � � � U � � � S � � F �j 7in Phone <br /> OWNER � � � � � � m ."+ <br /> APPiicant Dd�iimq Address City �p — _ <br /> ' Phone <br /> Describe Proposed WorK NEW HOUSE <br /> Project Address�il known) 4733 G;.ENWOOD AVE � � <br /> _ Lo�3_ �' <br /> Attach lour(4) copies of pl2ns tor proposeJ�vu:k - Drav: t�xai•,,�::,y �,.te U�� !pquwmg�y apphcab�r.� <br /> • Property Lines • Centerline nl sireet <br /> • Outline and dimensions ol all exishng anA • Indicat�North � <br /> proposed structures on the loi • Show any r.roposed gratlmg changr.s <br /> • Existing and proposed utilities • Show m�asuremenis <br /> DO NOT WRITE 6ELOW TMIS LINE � <br /> PERMITCONDITIONS O <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259•8810. <br /> 2.All work shall be performed in accordance with this permit and cu�rent City of Fverelt Design and Consiruction � <br /> Standards and Specifications. ' <br /> 3.Call�ocation Underground Service 48 hrs.betore you dig.TOLL FREE NUMBER 1•800-424•5555. <br /> � <br /> 0 <br /> � <br /> � <br /> O <br /> � <br /> � ACKN06VLECGGP:IENT OF CONDITIONS <br /> V�� _ _ _ Th.��,innarsiqnetl o�t•neUapphc2nt�iereby agrees to holtl antl sacz harm� <br /> �i�^ � less ;Iv; Gty ot Evere;t from any antl ali clalms for damages. c.sts <br /> /1 �C ; expense>. m causes ol action Ihat may ans= because ol ins3ilaher <br /> y Q M�1/ 1� Qa an�7 miinlenance M pie imprpyfmznt or olh2r figM�obwey USE hereto <br /> Approvetl for Constructio� �L� �1��''� �I� i �����'��: �er and tur;her a9rees to remove same upon notice bom �ne <br /> V �"�`� � C.•Y ��,v% to rePlaca uuh6c proper;y damaged thereby. <br /> � � / <br /> FINAL INSPECTION Date /.���,L �1-�'�� (p/O -�� <br /> Approverl as Conshucted I 7n it e ot Appl�can� Date <br /> �A1E�r� PUBLICN'OflKSDEPARTMENT I l pRK AUiHORIZED BY THIS PERRtIT MUST BE STARTED WITHIN <br /> 3200CedarSireet 180 DFYS OF DA7E PERtvl1T IS ISSUED AND THEREAF�ER IS TO <br /> Everett,WA 98201 BE DIIIGENTLY PURSUED TO COAIPLETION. THIS PERhl1T t.1AV BE <br /> Phone:259�8810 I CANCELLED B`f THE CITV UPON ANY STOPPAGE OF WORK ON 'HIS <br /> � PFOJEC�OVER 90 DAVS DURATION. <br /> �� i <br />