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5-16-95 ^ � <br /> Date P�Nhc Ylorks Pnrmil. <br /> cmn o�a� , —�f9232__.._ <br /> Application Far ------ <br /> PUBLIC WORKS PERMIT °.�°��°,°°,�=F�° ----- <br /> .a„�F�� s <br /> ���ss noni Fe.•o.��;� S <br /> Print or Type Only e.,�.,�«•o„� S <br /> Carlstrom Randy/Pam 1609 England Ave Everett WA 98204 <br /> �WOP� Mdiilfic dCdfl'Se l'.�il' %�P PhrnL; ��� <br /> Tutmarc Assoc 10020 Main St �1201 Bellevue 98004 688-1725 <br /> ApphCanl M1t:�dnr.�Add�css .—______„_t.,__—_ --''P _—___ P!iunn — ____ <br /> Describe Proposed Work Yard 6 _garden_structures including rockeries, spor[ court <br /> —_'_—_ _._____. .__.______"_ ____—_'— � <br /> Pro�ect Address Id knownl 1609 England Ave________ ___ L <br /> r <br /> A�taCh four 1'11 coPieS of plans lo� pioposeJ uor.. - Piar: q :-,:,il.. .c�.,7 ncte the tollc�.viny as aoUlir.ahie: � <br /> • Prnperty Lines • Ci±nterline nl streel � <br /> • Outline anA dnnensions ol ali exis!mg and • li•.tlicat�� North <br /> proposed structure5 on the lot • Siiow any r.roposeA��radin<� chan.a•> <br /> • Eristinq and proposed utillties J Shpw measureinents � <br /> GO NOT WRITE 6[LOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspeclion shall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall be peMormed in accordance wi�h this permit and current City of Everett Design and Construction <br /> Standards and Specitications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FHEE NUMBER 1-500•424-5555. � <br /> '�v I� ��, c ��r ks �rlvt i � I'1C7� I���; �e � � <br /> �'�� � z� ~ <br /> / /�� � <br /> O <br /> a <br /> .1CKNOW'LE�GER!EN� i)F CONDITIONS <br /> ���.. ,,..��.-.�..,.in„ci o�vner/aPUhc:!nt h�reby a9rees to hold and sace harnr <br /> — i ir�,s ;P�e City o� EveieU from any antl all ctalms lor Aamaqoa. eosts <br /> . rxpenses. o� causes of action that may arise hecause o� insiallatien <br /> anA in,lint@n�nCe o! Ihp imprOVCmen� or other riqhDObway uSe he�elo <br /> .__ _------ - . ! ;ipphrd for and lurthe� a9rees lo remove 5ame upon nolir.e from the <br /> Approved lor Consiruct�un I'��'� Ciry and to�o•placr V��blic pwnerry damaged thereby. <br /> i <br /> FINAL WSPECTION Date I <br /> Approved as ConstructeA Signature of Apphcant �.le <br /> �I�I� PUBLIC WORKS DEPARTMENT 4NORK AUTHORIZED BY THIS P[RMIT MUST BE STARTED WITHIN <br /> �� 3200CedarStreet I �80 DAYS OF DATE PERtitIT IS ISSUED AND THEREAFTER IS TO <br /> Everelt,WA 98201 BE DILIGENTLY PURSUED TO COMPLHTION. THIS PERMIT �dAV BE <br /> Phone:259�8810 I C4NCELLED BY THE GTY UFOPI ANY STOPPAGE OF WORK ON 7HIS <br /> . "rROJECi OVER 90 DAYS DUR�T�ON. <br />