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x <br />� <br />- - �-$-94 � <br />Date �� P05TlNG CFP � o �nn6 <br />Aoplicalion For �' -' �`�`� <br />� PUBLIC WORKS�'ERMIT <br />Op <br />O p o pp p p p p <br />r O VIGJC)�InO�-�+ O O <br />Print or Type Only m � .a �i o o�}p w a <br />�t . � MNN M M(t�� � K <br />�� <br />Tim Stecher 7228 89th Ave <br />Owner <br />Owner <br />Applicant <br />Describe Proposed YVork <br />new <br />A9a�iiny <br />DdsiLn:; �ddress <br />WA 98290 <br />PUU��cWor�sPcrm�l• / a��/ <br />a�aq oeoi. + —�J�.583 . <br />Vu���,c Worws Fee <br />iolal Fee 5 <br />�ess A�ui �.��� [`a..f S <br />W�067UsiN�2oF-o� `FW <br />d����a�d��g�� �� <br />Prolect Address Id kno�vN ��-�-- �-�- �1�J In�__!4�� — <br />Lin <br />weDuu $ �lJpO <br />,�zz5�o/�a.�/ <br />Att2ct lour 14) coP�es ot pl�ns la ProP�»��J wu�� � Drav: to .c,�i...n:o neJr Ihe'oilo:vinq as .mphcahir•�. <br />• Properry Lines • Cente�line of atrevl <br />• Outline and dimensions ol all exis!my :inrf o Intlir.ale Norlh <br />proposeA sirudures on ihc lot • Shov: any r.reposed 9ratlm9 chana��s <br />• Existir�o and proposed utilities � Show mrasurements <br />Approved fur <br />PEFMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•8810. <br />2. All work shall be pedormed in accordance wi�h this permit and cwrent City o( Fverett Design and Conslruction <br />Standards and Spacificalions. <br />3. Cal! Location Underground Service 4B hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555. <br />�/ ,yGGVLc.. C'd7xiiu.e��..•v iCc �e o%�t.�- !/1-2�✓ i�4SCa.Qcc. SrLuj�ry�.-d J <br />� �' F_ n�c Q` (/ � <br />�a,� ��� .S'- /2 - 9 5� <br />�'o� �t.71��,�� <br />—.- —. __ . . _ . ..___i <br />i` / <br />� •� a�==_. 8/��`''� _. i <br />D.-� I c <br />� i.i - c/ I <br />FINAL INSPECTION <br />ApproveC as Consiructed <br />�A��e�� PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slree� <br />Everetl. WA 98201 <br />Phone:259�8810 <br />ACKNON'LEDG[PAENT OP CONDITIONS <br />i!i�• �r�C��r-.�nrd owner/apphcant horeby agrees to tiold and save harm- <br />IPSs ;h�� i.�by r.f EvCrett Irom any anA all Gaims for damages, r,osts. <br />��xpens�s or Causes of action that may arise hecause of insta�lation <br />and :n,nnlrnar.r,e n! the improvement or olher ripht-ot�way use herelo <br />ac�il�p,! !rt ,tnd tUr1hB� d9rCe5 to re�nOve Samc upon no�iCB Irom �he <br />C�!� :u�,;! �n ,,,pLic�e oubLc property dzmaged thereby. <br />�� �. J ,;-'_-., �1��.�/9y <br />nature ol Applican! D���� <br />1�' P.K AUTHORIZED BV THIS PERMIT MUST BE STPRTED WITHIN <br />1H0 DAYS OF DATE PERMI', IS ISSUED ANO THEPcAFTER IS TO <br />BE DILIGENTLI' PURSUED TG COMPLETION. THIS PERMIT fdAY BE <br />C:1�JCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON i HIS <br />PROJECT OVER 90 DAVS DURATION <br />