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- ;_ <br /> ; �. <br /> � <br /> � � �' <br /> � V- 2U•2y-5 91 Z�:� <br /> � Date v�ei,�work�va,m�n. _ <br /> C 7-1-91 <br /> `��A BiEe �eota 91�2�238 <br /> Cy AppliCalion For <br /> � � PUBLIC WORKS PERMIT PuOfcWo�weFeo S - <br /> � To�alFee <br /> �� lass Aoo�Foo PaiE S---- I <br /> M eaianceDue S �-G <br /> �G0 Print or Type Oniy TO POSTI NG_. � ,° �L <br /> .p <br /> y P[c K i n n ey, Kenny 1717 Lombard Ave Gverett WA 98201 252–ll44 msg <br /> Q� Owner Mailing Adtlress Cily Zip Phone i <br /> �yr <br /> Z N I <br /> �y owner _ — — <br /> N. Applicant Mailing Address l'�:y Zip Phone <br /> � <br /> G <br /> Describe Proposed Work SFR new construction 1002 S.P. <br /> 6W <br /> _ ,. � <br /> Project Address�if known� 2314 Everett Ave H <br /> Atlach four(d)copies of plans lor proposed work-Draw to scale and nole the lollowing as applicahle: � <br /> • Property Lines • Centedine ol street ♦A <br /> • Outline and dimensions ot all existing and • Indicite North V� <br /> � proposed sVuctures on Ihe lot • Show any proposed grading changes <br /> - • Existing and nroposed utilities • Show measuremenis /M <br /> .. _, ; <br /> W <br /> i/��p DO NOT WRITE BELOW THIS LINE O <br /> � � � PERMITCONDITIONS <br /> 1 � 7.All calls for inspection shall be made 24 hrs.in advance•phone 259•8870. � <br /> 2.All work shall be peAormed ir.accordance with this permit end current Ciry ot Everett Design and Construction <br /> ._� Standards and Specitications. <br /> `w� 3.Call�ocation Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> ' O <br /> � � <br /> � I <br /> � I <br /> I �� O ' <br /> I <br /> � -- <br /> a '� <br /> '� . ACKNOWLEDGEMENT OF CONDITIONS <br /> '+� c�< .�Z i�T'N�S 1F Lt�t- � C� The undersigned ownedapplicant here6y agrees to hold and save harm- <br /> less the Cily ol Everett from any and all claims lor damages, costs. <br /> - eapenses, or causes of action ihat may arise because ol inslallation <br /> ',�� ` ''�� --7_ 15 . ��� and maintenance of the improvement or olher righ4of-way use hereto <br /> � �t. �r applied lor and luriher agrecs to remove same upon nolice trom the <br /> Approved lor Conslructio / Date City and to replace public prope�ry damaged thereby. <br /> �� �:,!''=% �- L y-3• � � <br /> , � . ,�,,.� f�l�-t�i+v.../j . <br /> FINAL INSPECTION Date <br /> Approved as Consiructed Sic�nalure Applicant , Dale <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> ����.� PUBLICWORKSDEPARTMENT 100 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CedarSlreel BE DIUGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Evercll,WA 98201 CANCFILED BY THE CITY UPON ANY STOPPAGE OF WORK ON 7HIS <br /> Phone:259�8010 PROJLCT OVEP.90 DAYS DURATION. <br /> � ' <br />