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� <br />TYPE OR PRINT CNLY <br />JOHP� WEST <br />Owner <br />Application For / <br />PUBLIC WORKS PERMIT Date 3/5/96 <br />PUBLIC WORKS DEPARTMENT Public Works Permit 4?�1, IVcr <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />'JUL 1 � �9�ildingPermitq__ S10Z4 <br />�0 PQSTiNG PublicWorksFee$_�� <br />5234 S 4TH AVE 98203 252-9659 <br />City <br />Phone <br />Applicant Mailing Address �i�Y Zi <br />P Phone _ <br />Describe Proposed Work <br />NEW DUPLEX — BASIC 1145 <br />PF'OJECT ADDRESS (if known) ZU05 MAIN� ST (��f-3 � <br />LOT 1 <br />An1ch four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: <br />•Property Lino-s •Outline and dimensions of all Pxisting and proposed siructures on the lot •Existing and proFosed utilities <br />•Centerline of street •Indicate North •Show any proposetl gradinq changes •Show measurements <br />. _ _ ...... _ _��.,.. . � ��.. ���v� <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be pertormed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 46 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />��� <br />i <br />� <br />�� � .r �.,�-rt <br />FINAL INSPcCTION <br />Oi�/O1/96 3:48PM <br />, <br />MODp52039 <br />BLDG f904.50 <br />PLBG f154.0� <br />MECH t120.00 <br />SRCIRG f6.50 <br />n�iurr szo.00 <br />aooaw� <br />s�t sra.ao <br />SV90EV t:804,00 <br />QfpC lL1�9.Ut <br />� <br />� <br />♦��� <br />V♦ <br />��/� <br />V♦ <br />Q� <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrecs to hold and &�ve harmless <br />the City of Everett from any and all claims for damagee, costs, expanscs, ur <br />causes of action that may ar'se because of installation and maintenance of <br />the imp� ovement or other right-of-way use hereto applied (or and futlhur agrees <br />to remove same upon notice hnm the City and to replace public property <br />damaged ihereby. <br />Dzte I � /��- <br />Approved as Constructed <br />i <br />� Sig Nre of A ican[ Da e <br />WORK AUTHOPIZED BY THIS PEFMIT MUST BE STARTED WITHIN 180 DAYS OF DA7i ERMIT IS ISSUED AND THEREAFfER !S TO dE D!LIGENTLY PURSUE� TO <br />COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 9U DA'i;i DURATION. <br />