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� �a �i �OST�N� � I 8 1991 <br />PUBLIC WOaRKS PERMIT � <br />(�ate 10-22-96 <br />PUBLIC WORKS DEPARTMENT —9/_/A�� <br />3200 Cedar Street Public Works Permit k (�/ -•r <br />Everett, WA 98201 259-8810 <br />TYPE OR PRINI" ONLY <br />Loren Dorrah <br />Owner <br />2820 B Li.ncoln <br />Curt .Iohnson 337-4733 <br />Applicant Mailing Address <br />Describe Propo�ed Work <br />_ new hee�e <br />PROJECT ADDRESS (if known) z04 Dorn Ave <br />Lynnwood 98036 <br />�.ny <br />Building Permit u_ 53301 <br />Public Works Fee S _�— <br />787-6700 <br />Z�P Phone <br />Lot 1 SP 1127-95 <br />Attach four (4) copies o1 plans for �roposed work - Draw to scale and note the following if applicable: <br />�Froperty Lines 'Outline and dimensions of all existing antl proposed structures on the lot •Exis;ing and proposed utilities <br />'Centerline ol sireet •Indicate North •Show any proposed grading chan9es •Show measurements <br />PERMIT CONDITIONS: —� "v' """ `"��vvv i ryi� uNE <br />1. All calls for inspection shall be made 24 hours in advance - phone 209-8810. <br />2. All work shall be pertormed in accordance with this permit �� �d current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Ca!I Location Underground Service 48 hrs. before you di�. TOLL FREE NUMBER 1-800-424-5555. <br />♦�/► <br />� i�r� p cih� sirccfs cican ;�t all timrs. V♦ <br />�. CwL euqcr mid �idetv,�ik iu Ilic pL�t ve u:;�c ;uiJ uudam;u,ed. am u;un;�pte h�ei�����;�ii�li �t�:�aq4�?,��iie �/' <br />1: <br />discretiou of tlic Pubiic 10ort.s inspecloe � <br />t, Nry chanec h� tl�e cUivew.n� cut :au:r be approvrd bV the F".V fnspecror. b�005342d <br />A�just �aalcr boxcs to �adc at cnd of consittulion. �-E� $110.00 <br />8 Dm'�n'at�s sh:�l be completcly curcd bel'ore dmv�� on tlirm. �OOOS.•.�01 <br />y. Side ;ewer and Sronn ;r.wer connections ;tiall be inst;�lkd as er th: ;i ��o�F jD�' 4l�S5.Op <br />>hort plat iro�;ro��cmcnts. � PI RLBti�ustniql�;t�?Oi ior Uic <br />MECH 5120.� <br />SRCHRG 56.50 <br />DF:IVW;' 5�0.00 <br />HOOOp9102 <br />WRTEF 4750. Di) <br />N00030876 <br />SEWER a70.00 <br />ACKNOWLE SY5�EU $1884.00 <br />The undersi md owneda lic . T OF�(3(Jp j�pNS <br />9 PP [gGY apree` o�i��ld and save hartnless <br />ihe Ciry of Everett from any an �ims ibr�ii��ag2�, cosis, expenses, or <br />causes of action Ihat may anse because of fnstallatiun an] maintenance o( <br />the imprc.vement or other nght-ol-way use hereto applied lor and further agrees <br />to remove same upon notice fmm the City and to replace public property <br />damaged thereby. <br />.� �//� <br />Signature of plicant ��� lG'ti� / � %G <br />WORK AUTHOR12E0 BY THIS PERMIT MUS7 BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUEDaTO <br />COMPLEf7pN. THIS PERMIT MAY BE CANCELLED BY THE CITI' UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 DAYS DURATION. <br />