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TYPE OR PRINT ONLY <br />Jack Johnson <br />Owner <br />Application For <br />PUBLIC WORKS PERMIT <br />P, RUC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />TO POSTING j" ' Zaoo <br />1901 148th St SE Mill Creek 98012 <br />Mailing Address City <br />Date_ 2/5/96 n / <br />Public Works Permit If9(O ,?41(.Yoh <br />Building Permit M 50792 <br />Public Works Few $ 3S va <br />.'45-4554 <br />Mike Todd 745•-3032 <br />Applicant Mai it i Address City Zip <br />Describe Proposed Work _ New office/apartment building <br />102& A,d C - <br />PROJECT ADDRESS (if known) -2"6 Masison St <br />4872.50 <br />Attach four 4 copies of plans for ro PL`i CH 17.3.52 <br />() p p p posed work -Draw to scale and note the following 'rf applicable: <br />"Property lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and p tt000086'.7 <br />8t 7 <br />lifti too. m <br />"Centerline of street "Indicate North 'Show any proposed grading changes "Show measurements k0000t,17 <br />PERMIT CONDITIONS: S4SDEU 3301, 74 <br />1. All calls for Inspection shall be made 24 hours in advance -phone 259-8810. 400096069 <br />2. All work shall be performed in accordance with this permit and current City of INTA{ t Desi�jrlsail� <br />Construction Standards and Specifications. CHECK 4'. 1.7 ^; <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />oL <br />/Jr J�i�Pf%Ht�C 1,t1�.Fcf�lr.�rvrcG Tram1m fLe7Z'fo MG?`Gre///O� <br />(p LJ/%Jluso a <iLL¢y %�4✓,n� /O ye 011"L jler ti>T¢t%ic0/ <br />�r.�v,-d �i,?rfbrmar,CC 9v4r�r,-{�e Tor 4'CCef/ <br />�¢`r"�,% '-k'/�'� 6i%lo::� j�er.►�,f,.r 4� issued, <br />W <br />Fes` <br />co <br />ca <br />O <br />z <br />O <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITION:i <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of instzllation and maintenance of <br />the improvement or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replaco public property <br />damaged thereby. <br />§jgnatum o Opplicant ? <br />Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />