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Dat�a__ 5/4/95 <br />.. Application For <br />PUBLIC WORKS <br />TO POSTING �P�gg I BIEBDePIksPelm'482445 �/� , <br />PERMIT <br />PUGbc Works Fee <br />TolalFea 5 <br />Less AppL Fae Gaia S <br />Print or Type Only I BalanceOue s.�S---o <br />TRINITY EPISCOPAL CHURCH 2301 HOYT AVE EVERETT 98201 252-4129 <br />Owner Mailing Atldress �� �: City Zip Phone <br />i <br />PAUL TURPIALA 259-3161 <br />Applicant Mailing Address City Zip Phone <br />BUILDING ADDITION AND INTERIOR REPIODEL <br />DesCribe P�DpoSetl Work <br />Prolect Address Gt kno�.vn) <br />2301 NOYT AVE <br />Attach four (4) copies of plans for proposed work � Draw to scale and note the fpllowing as applicable: <br />• Property Lines • Centerline ol street <br />• Outline and dimensions of all existing and • Indicate North <br />proposed structures on Ihe lot • Show any proposed grading chan�es <br />• Existing and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1. All calls tor inspection shall be made 24 hrs. in advance- phone 259•8810. <br />2. All work shall be peAormed in accordance with this permit and w« ent City of Everatt Design and Consfruction <br />Stanoards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800•424•5555. <br />`� �� �L� -o.cci�xua�L dtn,E� o�z d�.,.,a� 6� <br />Q��.,.,,a` ,Si%,�/' 6e /�e,a.Pr��/' u� c!'c-ar��✓' <br />��/t �✓ �Lc�/�-�ic' uJvr�ri- .C-�L �"Z- . <br />r. i!L .z- 5 // � S <br />ApprovediorConsb6Ction Date <br />� �� /��t�- , <br />�� i y°- y��� <br />FINAL INSPECTION Date <br />Approved zs ConstructeA � <br />�, �_ ' PUBLIC WORKS DEPARTMEIJT <br />�� 3200 Sedzr Street <br />�L����T Everett,N'A9d201 <br />Phone:259�BS10 <br />I��l. <br />� <br />ACKNOWLE�GEMENT OF CONDITIONS <br />W <br />� <br />�w <br />_ / <br />� � <br />� <br />Th� undersigved owner/applicant hereby aqrees to hold and save harm� <br />less the Gdy of Everett irom 2ny and all claims lor damages, costs, <br />expenses. or causes ol action ihat may arise because ol installalion <br />and ma� e nce ot lhe improvement or othe� right�of-way use hereto <br />appli for d further agrees lo re same upon notice from ihe <br />Ciry nd to gl� public propert ama ed thereby. <br />-�ypna�uie o� Hppnwm � - - ua[e <br />WORH, AUTHORIZED B THIS PERMIT MUST BE STAqTED WITHIN <br />180 �AYS OF DATE PERMIT IS ISSUED AND THERE�FTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY 8[ <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />