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� <br />TYPE OR PRINT ONLY <br />Application For / <br />PUBLIC WORKS PERMIT Date 3/5/96 <br />PUBLIC WORKS DEPARTMENT Public Works Permit k�/�Q4 <br />3200 Cedar Sireet <br />Everett, WA 98201 259-8810 <br />?'Q POSTING JUL 15 19g�uildingPe;mit#_ Sifl,p <br />Pu61ic Waks Fee $ !.V ^ <br />JOHN WEST 5234 S 4TH AVE S8203 252-9654 <br />Owner {vlailing Address Cit <br />Y Z�P Phone <br />Applicant Mailing AdAress City Zip Phone <br />Descrihe Proposed Work <br />PROJECT ADDRESS {if known) <br />NEW DUPLEX - BASIC 1145 <br />?025 MAIN ST � A-f-� <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: <br />LOT 7 <br />•Pinperty Lines •Outline and tlimensions o( all existing and proposed siructures on ihe lol •Existing and proposed utilities <br />•Centerline of streat •Indicate NoAh •Show any proposed grading changes •Show measurements <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in aclvance - phone 259-8�10. <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. CaII Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />�� ��� 3f �5��6 <br />Approved for Const tion Date <br />7 <br />�'—� 7 ia St <br />nrvr�� maPECTI Da�e <br />Approved as ConsiructeA <br />OSi �/9b =:59r'N <br />/ <br />#OOJ5104p <br />SLDG 4896.50 <br />PlSG :iSk.OD <br />'fECH �'_�O,CxJ <br />Sft�HRG sb.SQ <br />��zuwv aze,00 <br />rt�00�05'+� <br />SE;J�" :?�,00 <br />SVSDEV g188k.00 <br />��=Cf; 9':5_.00 <br />W <br />H <br />- <br />� <br />� <br />vr <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIC�NS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />ihe City of Everett from any an� all claims for damages, costs, expenses, or <br />causes of action that may arise because o( installation and maintenance of <br />the improvement or other rigM-o6way use hereto applied for and further a9rces <br />to remove sama upon notice from the City and to replace public propeity <br />damaged thereby. <br />�� ���.�� >�� /9 <br />WORK AUTHORIZED BY 7HIS PERMIT MUST BE STARTED WI7HIN 180 DAYS OF� PERMIT IS IS�UED AND THEREAFTER IS TO 8E DILIGENTLY PURSUED TO <br />COMPLEfION. THIS PERMIT MAY BE CANCELLF.O BY THt CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS OURATION. I <br />� <br />