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5-3S -29-4- 90- 5/92 <br /> Date�4L2St/9� c„oec wen�re�mn• <br /> ApDliwlion Po� or�p oro�•fl0/25B^3 <br /> PUBLIC WORKS P�RMIT M°r;;�.:�•. : <br /> �e,,.00��.,o.W s—�a—_ <br /> Print or Type Onty � � ' � ' - � ; m�.�.o�� s a0 -- <br /> Majid-Macmi � . 8�19 - 88th P1 SW� � Everett, WA 98204 3C8-0509 <br /> Owner . MplFqg Adtl�ese . . , ,C'IY ZiP P�one <br /> Owner ,�, .. , . . . . _ , �. . ' <br /> APUlicanl McilinqAEtlress CII>' ZiP P�one <br /> DesceiGe Propos�� 'Ni��k _. �BtnuCt new ei^Qle family_residence <br /> Pioiecl Addiess�i�knowm 1612 Fdgemooi Ln W` <br /> Ptlach low��i c�� es 01 pl3ns lo�pmpoSCd wo�k�D�avi lo swle Bnd n0i¢I�e I011owinp as ap01ic9ple � <br /> •Prope�ry Lmas •CeNetline ol street � <br /> •Gulline anJ dimensions ol all existinB an0 •,ndicnto Noilh <br /> proposetl sbucWres on Ihe lot •S�uw any proposed qrotlinq changes <br /> •Eeisling and pro0osea utilitios •Show measuremenls � <br /> �O NOT WRITE 3ElOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.Ail W Ils'Jr inspeclion s�all Oe matle 24 hrs.in advence�phona 259$810. � <br /> 2.All wpd.r^all be peAormetl in acr,ordance wilh Ihis permil antl cunqN Cily ol Everetl Design antl Conslrucllon <br /> Slana.ids entl Specifiwfions. <br /> 3.Call Laatian Untlergmuntl Servite 49 hra b¢bre you tlig.TOLL FREE NUMBEN 1•BC1P4'24•5555. � <br /> � Ex�sf�n� Dr.rer✓��/ cur6 c�f to 6e remvved and O <br /> re�Ca/�� e✓.'{�, �t[•h�y/,t Curb qnd�ruKer Pn,r <br /> G�Y STqn[Iarp� �305 r:n�SidtNuC.C' �J¢r S�andn.�''"306. � <br /> .s ,U«<, d�,.-.4�.,.,,, �� �� ,;�Sf�«�dP��,- Sf�.,a�,-���o� V� <br /> Gnd �JCr SFCfion 3.'3,T D!f��! �'Ntr`<f� �,.fai��ro�S mon(ia�. � <br /> a <br /> � ACKNOWLEDGEMENT OF CONDITION, <br /> � ihc untlorslpned awner/appl¢nnt�eieUy agrees to hold antl savo harm� <br /> less Ihe Cily ol L�erelt bom any antl all Uaims lor OamaA�s costs. <br /> mpenses, or causes ol action Ihtt may mise because ol inStallalion <br /> c�'���y /�����D antl maintenance ol the improvement or othnr nyM�o4woy usr�ereto <br /> appbed lor anC lurl�er a �eos to remove same upan nohce from tho <br /> ApprovedlorC slruction Dale Cilyantltorepla pmpal/y5h mage0t�ewby. <br /> FINAL INSPECTION Dale �"' "J � `���j/ "" ' �� � /�%� <br /> Appmved as Conslmcted S�gnaturlol Applicnnl Da�c <br /> evv�ctl PUBLIC WORNSDEPARTMENT WORK AUTlIORIZLD AY THIS PLRMIT MUST BE STARTED WITMIN <br /> � �200Ce0arSlreet 180 DAYS OF DPTC P[RMIi IS ISSUED AND TMEREAFTER IS TO <br /> Everelt,WA�JB20� BE DILIGENTLV PURSUED TO COM1IPLETION 7/115 PERh11T MAY BE <br /> Pnnnc.:59-�N10 CANCELLEO BY iHE CITv UPOY ANY STOPPAGE �F WORK ON TMIS <br /> PqOJECI OCER 90 DPY$I 'IHFiIUN <br />