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Date T� POSTING��--� PuOlicWarkaParmlta � '1 J <br /> 8/21/91 �7 Z eiaa.oeo�.. 91/27�73 <br /> Applicalion For <br /> PUBLI� W�R�4� ��RII�IIT PunTolefaaFea § -- <br /> �:i <br /> ,.. Less Appl Fee Paitl $ J�� <br /> � � r r i n n ri �i ri �-� ri r� Baianceouc S ���� <br /> Print or Type OnIY�� . "• ", ,.� ' � `", � c�� `�} <br /> i r� . „] P I r) r_� vJ p O t� <br /> . i p� : 'i� PP u. ��. p� ,U O C� Dl <br /> r,. -_ :n .�� ri r, u: r� c.4 cv r,.. <br /> �'� r r). �:;: C1 .r+ _U 4 L} �� ... <br /> 0'Connor & Oehler, Cons���Inc 9216� Ever �ee�rWav' Everett 98204 353-7700 <br /> Owner '-� ��� '-� �� � �M i�ing�dress�' ;� ,s o � Ciry Zip Phone <br /> 1:'. O ['-� v' p .. rJ 1 I -�+ i� W C 1�' �J <br /> G CJ !l C11 O � \ �"� V^. C'� t l'- ID f l.l F li. <br /> Cl ..J r_i i� -t 3 �i c'� LI -�' i� <� G� cT _� <br /> f`I G. i:l fil ]:�. ._r l�_, it. Gl -' :fl �:i :> -3 :[C .; C.� <br /> •-I <br /> Applicant Mailing Address Ci,y Zip Phone <br /> /.2 <br /> Describe Proposed work New 1� unit apartment — i2,918 sf — S�PA 4155-91 _ <br /> -- 1 _.�-....�,. <br /> W <br /> Projecl Addiesa(if known) ��� � H <br /> Atlach tour(4)copies ot plans for proposed work- Draw to scale and note the following as applicable: �� <br /> • Propeny�Line� • Centerline of street ♦^ <br /> • Outline and dimensions of all existing and Y Indicate North V� <br /> proposed slructures on the lo� • Show any proposed grading changes <br /> � Existing and proposed utilities • Show measuremenis � <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONUITIONS <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259-8810. �� <br /> 2.All work shall be periormed in accordance with this permit and current City of Everert Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424-5555. � <br /> � ��y a��;��/�� ,���f ��� /�� / ' `� / � <br /> �"" <br /> � <br /> � <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersignzd owner/applir.ant hereby a9rees to hold and save harm� <br /> less the City of Everett irom any and all claims for damaqes, costs. <br /> - expenses, or causes of action ihat may arise because of installation <br /> �i and maintenance of the improvement or other right-of-way use hereto <br /> �� applied for and luriher agrees to remove same upon nntise Irom ihs <br /> Appro d f r�onsir ion �a�e �ity and to replace public prop�e�rty damaged thereby. <br /> G � _ ' / j' � b �� �\�/ �1��%�L(�- .,.�i ��X — :Z " � . <br /> FW � INSPECTION " , Date t�� �—-�_;�.�,,:.� � <br /> Approved as Construc�ed Sic�nature of pplicant <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARicU lS�IIFIIN <br /> PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 CedarSireet BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE GTY UPON ANY STOPP�GE CF WORK ON ThIIS <br /> Phone:259�8810 pROJECT OVER 90 DAYS DURATION. <br /> . . . . '[ti4�, '� r�:�" ... <br /> t". <br /> j <br /> —....._._._--.. .. .�. . _ . _ ' .. <br /> _ ,. ..,..�.. rr ... �. _�y;....� y� -_� ' . .:.�v��e..o-� <br /> , . � f . <br />