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M <br />Dale 8/15/90 <br />App:"Cation For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Public Works Permit e / 0 — Y"irin <br />Bida,Dept.a 90/25363 <br />Public Worke Fee <br />Total Fee S <br />Lea& Aii Foe Paid S <br />Balance Due S�—� <br />Sydney E. Morgan 6220 W. Magnolia Ave Everett 98203 355-3737 <br />Owner Mailing Address City Zip Phone <br />Describe Proposed Work <br />Project Address (if known) <br />Mailing Address <br />New 2 car <br />City Zip <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable <br />• Property Lines <br />• Centerline of street <br />• Outline and dimensions of all existing and <br />• Indicate North <br />proposed structures on the lot <br />• Show any proposed grading changes <br />• Existing and proposed utilities <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 2!.: •8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before ycu dig. TOLL FRE�Er NUMBER 1.800.424.5555. <br />CjAC�VGC <br />11'�v, v <br />Or <br />fiL� �i 8 2.3 9a <br />Approved for Construction ate <br />FINAL INSPECTION Date <br />Approved as Constructed <br />everott PUBLIC WORKS DEPARTMENT <br />treet <br />Ever Cedar 8201 <br />Everel4 WA 98201 <br />Phone: 259.8810 <br />//I <br />OF <br />R <br />H <br />G <br />a <br />The undersigned owner/ plicant h agrees to hold and save harm- <br />less the City of Everen o and all claims for damages, costs, <br />expenses, or C9dses of a6lion that may arise because of installation <br />and maintenance of the improvement or other right-ol•wau use hereto <br />applied for and further agrees to remove same upon nnlice from the <br />City and to replace public property damaged thereby. <br />��E' mp— -ODO <br />Si atureApplicant WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />