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�lsi9s �" �OSTING —IG. - `l� u Cq . <br /> k <br /> Date � ��� � � � /y <br /> Pu�pLc IYmAs Pnrnil� I S�7.Qt <br /> —L� <br /> Applir,a�ion For ,Q Binq Deai . 48857 <br /> PUBLIC WORKS PERMIT � FuhL[\YOrtSFce �— <br /> ¢ toi,�Fe� s <br /> 0 <br /> gtess anm Fee aa a S_��_ <br /> Print or Type Only r g g � �,.e�„ s 7U <br /> �' M J N (�i� I�1 n — <br /> � � M » W <br /> Pam 6 James Hendricks PO SOX 533 Everekt �pp� � <br /> 258-4704 <br /> Owne� A9aifiny 4�:dress —�'-� <br /> � t^ ��_ Phonr. <br /> � W � 0 �� W <br /> Owner o � � g � � � � <br /> Apphcant Pd,,�linqAddress Citv ��p -- ,— -- <br /> P.ione <br /> Describe Proposed Work New Qarag�storage ahed ___ <br /> ProiectAddressl,� known! Z901 Everett Ave � —' � <br /> Attach four(4) coP�es of Plans loi nroPused wo�K � C rav: ta ":a�:, .u,,� not tho 1o�lcwing as apP6cable: � <br /> • Property Lines • Ca�nterlinr nf Street <br /> • Outline and dimensions ol all existing and • Irhicate North � <br /> proposed siructures on the lot • Sho�: any r,ronosed c�ratling chanues <br /> • Existing and proposed utilities • Show measurement�� <br /> DO NOT WRITE B[lOW THIS LINE � <br /> PERMIT CONDITIONS O <br /> 1.All calls for inspection shall be made 24 hrs.in advance•phone 259•8$10. <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and Consiruction � <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs,before you dig.TOLL FREE NUMBER 1•$00•Q24•5555. <br /> � <br /> O <br /> � <br /> � <br /> r O <br /> a <br /> ��'�a/" ACKNOWLEDG[A9ENT OF CONDITIONS <br /> L't� ____ _ 7 he undersiqned owner/apphcant hereby agrees to hold and saee h�rm- <br /> j less Ih�� Cdy of Everett Irom any antl all claims lor damayes, cosls. <br /> ��/�/� �'���— � '� � expenses. or causes of action that may arise hecause ol insiallation <br /> � V � �("' i and maintenanr,e M tne improvement or other right�ol-way use hereto <br /> J <br /> Approved for�ignsiruCtion p_� , , ar;P��e;; for and lurther aqrees to remove samc uoo:i notice from Ihe <br /> �� — j G;y ar,d to «�plxa Uublic pronerty damaged ihereUy. <br /> � .�_r-5� � � �' <br /> FINAL INSPECTION � <br /> Approved as Constructed D7e � Si atwe ol ApphcaM �' pi�� <br /> PUBLICWORKSDEP.IRTMENT l ORK AUTHORIZED BY THIS PERMIT MUST BE STAqTED WITHIN <br /> 3200CedarStreet �90 DAYS OF DATE PERMIT IS ISSUED AND THEFEAFTER IS TO <br /> Everet6 WA98201 BE DILIGENTLI' PURSUED TO COMPLETION. THIS PERM�T MAY B[ <br /> Phone:259�8810 � CANCEL�ED BY THE CITY UPON ANY STOPPAGE OF W'ORK ON 7HIS <br /> I PROJECT OVER 90 DAYS DURATION. <br />