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. �\ <br />Date 12/17/91 <br />PUC3LiC <br />Print or Type Only <br />Charles Pic <br />Applicant <br />4 <br />Application For <br />Vl�;p R KS <br />cT <br />O <br />n <br />0 <br />u+ o <br />?� p.� Ci <br />vi �'? p <br />�t CH p <br />O C1 <br />fn ( J �-i <br />.p «* ,u <br />Mailing <br />Q_ 1�_��'� I PublicWorkaPetmitr �� �7/ <br />eiaA. oeo�. « 35096 thru 35100 <br />P E R M I T Public Works Fea <br />Total Fee $ <br />s ApGI. fea Paia $ <br />�; �"'�STING AUG 0� 1 9a�a��eo�a $� 3 z� = <br />Describe Proposed Work New apartment complex — 3 buildings, garage and carports <br />Project Address (if known) 9300 W <br />Attach four (4) copies of plans for proposed work • G raw to scale and note the following as a�alicable: <br />• Property Lines • Centerline oF street <br />• Outline and dimensions of all existing and • Indicate Nortti <br />proposed structures on the lot • Shovi any prcoozed gra;�ing changes <br />• Exisung and proposed utilities • Show measurements <br />Approved as <br />�� <br />PERMITCONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phonP 23�•881 O. <br />2. All work shall be parformed in accordonce with this permit and current City of C oerett Design and Construction <br />Standards and Specifia3tions. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424•5555. <br />�' `'.�'" �'%°'�,.` � � / s � �� /D-�r-9 i� <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259•8870 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less ihe City of Everett }rom any and all claims for damages, costs. <br />expenses, or causes of action that may arise because of installation <br />and maintenance of ihe improvement or other riyht-of-way use herelo <br />applied for and further agrees to remove same upon notice from the <br />Cily and to replace public property damaged theieby. <br />�J � �, Z� � �-l�I_�'f <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED INITHIN <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 />