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1 . <br /> � lica�ion For <br /> PUBLIC 1NORKS PERMIT oe=� 7-26-96 <br /> PUBLIC WORKS DEPARTMENT Public Works Pertnit N <br /> 3200 Cedar Street <br /> Everett,WA 98201 259-8810 <br /> Buil�ing Pertnit M 52407 <br /> TYPE OR PRINT ONLY Public Works Fee S <br /> Tom Rubatino 2730 Harrison Everett 48201 252-0644 <br /> Ow•er MailingAddress City Zip phone <br /> Farm 6 Home Steel Bldg Carey Francis 360-757-7711 <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work �rame bldg � <br /> _ � <br /> � I <br /> PROJECT ADDRESS(if known) .��o C7(o — Evcre e � � <br /> Attach four(4)copies of plans tor proposed work-Draw to scale and note ihe following if applicable: � I <br /> •Property Lines `Outline and dimensions ol all existing and proposed structures on the lot •Existing and proposed utilities <br /> •Centedine ot street •Indicate North •Show any proposed grading changes 5how measuremeMs O I <br /> DO NOT WRITE BELOW THIS LINE I <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection sha!! be made 24 ho�rs 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 NUMBEH 1-800-424-5555. � <br /> �/ <br /> P(.IPLIC NrpqNS PEPM�' � O <br /> '��- REdU{A�� � I <br /> �=r._��� <br /> .qTt <br /> . �, s_f� _ <br /> ACKNQ'NIEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant he2by agrees to hold and save hartnless <br /> the City of Everett from any and all claims for damages,costs,expenses,or <br /> Approved for Constrvction p�1e causes ot action that may arise because of installation and maintenance of <br /> the improvement or other nght-of-way use hereto applied ler and further agrees <br /> to remove same upon notice from the City antl to replace public property <br /> damaged thereby. <br /> FINAL INSPEC710N Date <br /> Approved as ConsWcted <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY'HIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF UATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLEO BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 DAVS DURATION. <br />