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L•J � � <br />A�x <br />>HSC~/� <br />H Z� <br />� H� <br />'�+] N 'i <br />H�C� <br />� O rf <br />H U" <br />OH�y <br />H C�+7 O <br />7� O <br />9 H� <br />g�y <br />H <br />C] C7 V� <br />��� <br />H O t�/� <br />Date 6/5/31 <br />Application For , <br />PUBLIC Wf�RKS PERMIT <br />Print or Type Only T� �OfTl1,1/�__.._�„ i�q L ., . <br />J Iti V �/ <br />Gordon <br />Cnaner <br />APplicanl <br />16605 - 52nd Ave NF1 <br />Mailiny Address <br />Mailing <br />Stanwood <br />C�ty <br />/) % <br />Pul:��cV:or4aPermne // ll � <br />o�n� oeo�., 91/2710 '' <br />vuohc wort� Pee <br />To�alFee � <br />Le6s?00<<enPa�E $ <br />[ <br />. ��BaMncrnOUe 5 Tl� n� <br />. O.G:'- _. :.. - '''" - rii�r: _ //- ?.i / <br />98292"' 745-8987 <br />Zip <br />. . _ .' . . „ � . . <br />Phone <br />City Zip Phooe <br />Uescribe Proposed Work Constzuct new 4-unit condominitmi <br />Prolec� Atldress (ii known) <br />� <br />At�ach four (4) copies of plans lor proposed work - Draw lo scale and note lhe following as applicable: <br />• Property Line� • Centedine ol slreet <br />• Outline and dimensions ol all existing and • Indicaie North <br />proposed s�ructures on ihe lot • Show any proposcd gratling chan9es <br />• Existing and propose,tl uUlilies • Show meesurements <br />�• <br />PEFih11TCOND1710NS <br />1. All calls lor inspection shall be made 24 hrs. in advance- phone 259•8810. <br />-� �r 2. All v:ork shall be peAormed in accordance with Ihis permit and current City ol Everett Design and Construction <br />�.e,,,. � Stantlards and Specilications. <br />3. Call Location Underground Service 48 hrs. bebre you dig. MLL FREE NUMBER 1-800•424•5555. <br />ii <br />�. al,:it. [J(.tN.. �2e ��. .l-' ��<. ��.' _ /�. __.>: .i,� . Ql:r. <br />., ; �.' � . _`. <br />,T�l.- �1tu�/n� .�G' �/tl, .��t1i-c.i(:- O�yrCti�Za-i�� .T6)r..l�?C� �� <br />�,�:� 2'�"cy S- ti.u!a,u('�- . <br />� � ✓ - 7 �u17'x .3� 7 l <br />��; z.1�-« az.:� .� «�,� � ,�,::, � �� s�r�� ,: , , <br />/1C�7�k.t��'.. a-.z� iCtF.� ScCIPIc..I�- c�7.a�v�q.c�� 1�� .�� <br />( � <br />/,«<_«�`,�� r� � -�� _ : �_ . <br />.'i ,:,. /,., , i<-.., . <br />G'�� <br />�l-t�r� , /� ` <br />Appmved for Cons�ru � n . D e <br />l �--� .a-�: • f � <br />FINAL INSPECTION Date <br />Appwved as Consiructed <br />�/ l PUBLIC WORKS DEPARTMENT <br />�� 3200 Cetlar Streei <br />^'+ � GvcrolL lVA 90201 <br />Pl�une'. 259-OF710 <br />W <br />� <br />� <br />� <br />� <br />� <br />ACKNOI'✓LE�GEMENT OP CONDITIONS <br />The untlersi9neA owneUapplicant heroby a9rees to hold antl save harm� <br />less ihe Cily of EvereU trom any and all claims lor tlamaqes, costs. <br />ezpenses, or causes ol action �hat may arise bewuse ol installation <br />and mainlenance of ihe improvement or other righ4oFway use herelo <br />applietl br and luriher agrees to remove same upon notice Irom Ihe <br />Ciry and lo replace public property damaged thereby. <br />� .11���J.�CrL� <br />Si9na ue ol Applicanl Date <br />WORK AUTHORIZED 6Y THIS PERM'T MUST BE STAF7TED VVITHIN <br />180 DAYS OF DATE P[RMIT IS ISSUED AND THEREAFTER IS 70 <br />BL DILIGENTI.V PU�7SU[D TO COPAPLE710N. THIS P[RMIT �dAY BE <br />CSNC[LLED �Y THF (:IiY t1PON ANYSTOPP�GG nl= 1VORI:ON THIS <br />PRI1Jf CI OVFR 40 Ud15 DUF ;TION <br />