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^ ^—S <br /> � � "1 <br /> 1 <br /> _. .__ --_.e-�-. ._ . . . �.,���..�.�"'�.'���r" <br /> 9 y (n �_._ _ _. �_r-,.--.,�.r�e.�^.,�..-.z.-n __ _ _ .. . . .. . <br /> ��� �.- . - . . = <br /> n � runnclvo�hs Peim�n a <br /> � <br /> Date� B,ap o��, . 90/25570 <br /> � y � � APFI��etion Fo� _ <br /> yx PUBLIC WORICS PERMfT P°°'"`"°'°"`° S <br /> .o„�F�� <br /> � Q� � ��•s,anoi.vcc va�e 5_ <br /> O H o,iaoconuo 5 <br /> ��� Print or Type Only <br /> �yy�t" �y y Wan Sunq Lee 6437 Cypmea St. Evaratt 9R203 _ <br /> t1 V� Owner Mailin9 Atldress City Ziu Phone <br /> O H <br /> C�t7�A <br /> � Owner <br /> H V� <br /> AppliC2nt Pdailin9 Address Ciry ZiP Phone <br /> HOtn <br /> DescriUe Proposed Work Add t on B e ort enCloeuYe <br /> I �� <br /> 6432 Cypreee St. � <br /> Projed Addiess Iil knownl <br /> � <br /> AttaU��our(4)copies ol plans br proposed woik� Draw to scale and note the following as applicable: � <br /> • Pronerry Lines • Centerline of street <br /> • OuUine and dimensions ol all ezisting and • Indicate Norlh <br /> Iproposed strucWres on ihe lot • Show any proposeA gradin9 chan9es <br /> i • Existin9 and proposed utilities • Show measurements M <br /> j.. . _.�\ W <br /> DO NOT WRITE BELOW THIS LINE O <br /> ��. I` <br /> �� I i j� PEflMITCONDITIONS <br /> 1 � 1.All wlls for inspection shall be made 24 hrs in advance-phone 259•8810. � <br /> '�_ , 2.All work shall be pedo�med in accordance with this permit and current Ci�y ol Everett Design and Construction <br /> S�andards and Specilications. <br /> ! �� 3.Cell Location Underground Service 4B hrs.6elore you dic�.TOLL FREE NUMBER 1•800•424•5555. � <br /> II �_1' /f:���. , ((/CJa /�.i � ._ '�i'';i�i`//�;�1' i/. '.(. . . . O <br /> ( - ` �- <br /> ,: ,�. _ , _ � <br /> ' -_ ��-� ' � O <br /> , <br /> , a <br /> __� <br /> ._1�t ACKNOWLEDGEMENT OF CONOITIONS <br /> � The undersi9ned owneVapplicant hereby agrees to hold and save hanm <br /> less ihe City of Everett Irom any and all claims lor dama�es. costs. <br /> � eKpenses. or causes of action �hat mny arise Uecause of instaliation <br /> il and maintenancr, o� �he improvement or olher ri9ht�of�way use heieto <br /> ;�pplied lor antl �ur�her agrees lo remove same upon notice Irom Ihe f <br /> Approved lor Consiruction Date ���y i���� �n re�place p��blic property damageC �hereby. <br /> I <br /> i — <br /> I FINAL INSPECTION ��1e -- ���� <br /> ' Approved as Conslructed Si9natwr, of ApPhca��t <br /> WORK AUTHORIZED BY THIS PERMff MUST BE STARTED WITHIN <br /> II evcielt PUBUC WORKS DEPARTMENT 180 DAYS OF DATE P[RMIT IS ISSUED AN� THEREAFTE� IS TO <br /> O 3200CetlarStreet BE DILIGENTLV PUFSUED 70 COMPLETION. THIS PERMIT MAY BE <br /> Everet4 WA 98201 CANCELLED BY TNE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 PROJECT OVER 90 DAYS DURATION. <br /> I _. __ ._ . __ . _ __. __.. _ . . . <br /> _ . ___ . . ...__ . _ _. <br /> -. . ___ ___... <br /> .____- .-.._ . _'_..__________ <br />