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„, <br /> � , <br /> Det@ 9�3/85 <br /> PUEiic Works Permll• <br /> r ` Applfcation For BIOp.Dapl.• <br /> 85/1 6� <br /> PUBLIC WORKS PERMIT PueToielFaeFee s <br /> Leee AOD�Fee P�IC S <br /> Print or Type Only Bnl�nceUue a /D� <br /> /3� � <br /> Chazlea Beebe P.O. Box 1171 Everett 98201 259-6016 <br /> Owner MaiNng Address City Zip Phone <br /> Same <br /> Applicant Mailing Address City Zip Phone <br /> Metal euilding <br /> Desr,ribe Proposed Work <br /> - W <br /> Pro�ect Address(II known) 3501 Everett Avenue � <br /> Attach fuur(4)copies of plans for proposed work- Oraw to scale and noto the following as applicab�e: � <br /> • Property Lines • Centerline of street � <br /> • Outline and dimensions of all exiating and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Ezisting and proposed utilities • Show measurements � <br /> r,0 NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1. AI�calls for inspection shall be made 24 hrs. in edvance- phone 259•881 5. � <br /> 2. All work shall be pertormed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications <br /> 3. Call Location Undergrountl Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800•424-5555. � <br /> 1� !�r/o,�,� To .�F v�v�' ��,r AP�,eovE,o O <br /> �CANS G�47�� /0-�9_ps. <br /> � <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The unde�signed owner/applicant hereby agrees to hold and save harm- <br /> less the Ciry ot Everett Irom any and :�II claims lor dnmages, costs, <br /> expenses, or causes of action ihat may arise because of Instailation <br /> — /a �� and mainlenance of the imFrovement or other right•ol-way use hereto <br /> � applied lor antl further agrees to remove same upon notice Ircm the <br /> A rove for •ons tion Oate City and to:eplace public property damaged thereby. <br /> INS ECTION r ���� ��^�`��` °"� ' • � ��'"_' ' ' <br /> Approved as Constructed Signature o A plicant �ate <br /> everett PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> � 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THI:: <br /> Phone: 259-8815 pROJECT OV[R 90 DAYS DURATION. <br />