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��,� �PP��caticn For <br /> PUBLIC WORKS P�RMIT Date 6/20/97 <br /> PUBLIC WORKS DEPARTMENT Publit Works Permit# �_(�._ <br /> 3200 Cedar Street <br /> Everett,WA 98201 259-8810 �' )s "G� Building Permit M �57�4 <br /> TO POSTING G"� ' ' 1"�" <br /> IYPE OR PRINT ONLY Puhlic Works Fee$ � � <br /> REED EDWARD �i 7209 JUNIPER FVrRFTT 9g p�t �57 9616 <br /> Owner Maihnq Address City Zip Phone <br /> OWNER <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work GARAGE/UTIL Ri�t DnIVEWAY ADDITION o7—Ol—q7 3:SOPH _ � <br /> H 55704 � <br /> - '�I DI "' <br /> FLUHBING 14.00 � <br /> SURCHAkGE 4.50 � <br /> PROJECTADDRESS(ifkncwn) 7209 iUNIPFR nR p�inie ;+ � <br /> Attach four(4)copies of plans for pr000sed work-Draw to scale and note the lollowing i4 applicable: TOTAL �09.,�i� ��g <br /> 'Property Lines •Qutline and dimensions of all existing and proposed slrucWres on the lot •Existing and propose u i i iG5 C���` �Q <br /> •Centedine of street •Intlicate North •Show m.y proposed grading changes •Show measurements � �� r60 <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT COn�GITIONS: � <br /> 1. All calls tor inspection shall be rciade 24 hours in advance- phone 259-8810. <br /> 2. A!I work shall be performed in accordance with this permit and current City of Everett Design and o <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Sarvice 48 hrs. before you � �. TOLL FREE NUMBER 1-800-424-5555. � <br /> l. .�,,��-� �.� ,��� � � ,,� �;�r�,�., �� c� <br /> i� �x, �(c � ,-�l � <br /> .���� i�S��_ ��. 7r��� �C�v�s�Ev ; �. ���� C�-�-�- <br /> /2-�-5� <br /> 3��' <br /> �/ ACKNOWLEDGEMENT OF CONDITIONS <br /> 1'� ��� . � Tne undersigned owi�ar/app:icant hereby agrees to hold a�d save hartnless <br /> the City of Everett irom any and all claims(or damages,costs,eapenses,or <br /> Ap ov or Constmction Date causes ol action that may arise because of installation and maintenance oi <br /> the improvement or other rigM-of-way use hereb app��ed for and further agrees <br /> to remove upr.n nofi e from Iho City and to rr,place public propeAy <br /> damage y. <br /> FINAL INSPECTION Da;e <br /> Approved as Constructed . r—�� � <br /> � <br /> � Signalure of Applicant ate <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AIJD THERCAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COP.IPL[TION.THIS PEP�dIT M4Y B6 CANCELLED BY THE CITY UPON ANY STOFPAGE OF 14'OFK ON THIS PROJECT OVER 90 DAYS DURATION. <br />