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�a�+� � <br /> � PUBLIC WORKS PERMIT ��� 12/19/97 <br /> PUBLIC WORKS DEPARTMENT Publfc Waks Pr.rmft M � <br /> 3200 Cedar StreM <br /> Everett,WA 98201 259-8810 Building Pe�nh M 57489 <br /> T� POSTIN6 �-� 15 �ee <br /> TYPE OR PRINT ONLY Pubec Waks Fee S �/ <br /> Tri Star Homea Inc PO Box 6142 Lynnwood Wa 98036 42` 775 2468 <br /> Owner Meiling Address City � Pham <br /> Ocmer <br /> ApplicaM Meiling Address CHy Lp Phone <br /> Describe Proposed Work new houae � <br /> � <br /> ��/� <br /> — V� <br /> PROJECT ADDRESS(if known) 5134 Elm St Lot 2 SP #6-95 � <br /> Attach four(4)copies of plans for proposec:work-Draw to scale and note the following ff appliceble: O <br /> •Property Unes 'Outline and dimensbns of all existing and proposed structures on tl�e lot •6clsNng and proposed u111Nies <br /> 'Centerline oi street •Indicate NoAh 5how any proposed grading changes 'Show measurementa � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours in advance -phone 259-8810. O <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-E00-424-b655. � <br /> � . I✓1 T � �'�n�j G� '�-e.�G � -�v�- �-o o� -�-o p l�c�t^O�r- �� � <br /> �� s-I��I�S -fo � m ;�—. Q <br /> oi-o�-qe 6:oiPrs a <br /> N 57489 <br /> 6U1LD 886.25 <br /> ?LUMB 84.00 <br /> i1ECN 60.00 <br /> SRCH6 4.50 <br /> C�RIVE 20,00 <br /> FLAN Cf; 8.].2 <br /> N 31381 <br /> SEWEF 70.U0 <br /> UTILiTY 129c.00 <br /> TUTAL ^c42B.@7 I <br /> r `'�, a � CHEK �428.8� � <br /> � ,/1 ACKNOWLEDGEMENT��DITIONS <br /> � ^ n � The undersigned owner/epplicant hereby agrees to hold and save hmmless I <br /> �'!/( � /� Z � the Ciry o!Everett hom any and all claims for damages,cosM,expenses,or � <br /> Appfoved for C , ion iDat causes et action thet may arise because of Installetbn and malntenance of <br /> the improvement aother rigM-of-way use hereto epplied tor and h�rtlier ag�ros <br /> to remova same upon notke lrom the CNy and to replace public propeAy <br /> � f �/� damage�l therehy. � <br /> FINAL INSP TIO Date <br /> Approved as ed <br /> `� /-7-9� <br /> aWre c!<,pp Uate I <br /> WORK AUTHORIZED BY TFiIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMR IS ISSUE AND THEREAF7ER IS TO BE DILI(iENTLY PURSUW TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON iHIS PROJECT OVER 90 DAYS WRATION. <br />