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Date 6-20-95 <br />Applir,ation For �� P�STII�G �n��� `� <br />PU�LIC WrJRKS PERMlT <br />f'rint or Type Only <br />Dorlin Gaenz 9005 44th Ave W Mukilt <br />OP.i ib!OJim: :V!dlBSS <br />Owner <br />Applicent t:.,d�n^, Address <br />Describe Proposrd Work __new house <br />Pro�ect Address �if knowN _ 1814 Leland Dr _. __ <br />98275 3�J-6484r7 <br />a��n��r�'ra�wsP.,�m.t� �'���[iSG� <br />��a:� oepi.. _46IL�i.S <br />Y.�bl�p YJotkS Fne <br />iolql Fee 5 — <br />L�ns /�ou� Fpo PaiO rJ �7� ._ <br />:��alance Ouc S W <br />„ <br />c� _ . � zin__� <br />I. <br />�; <br />. . � . , i . - r, � , , <br />Gtly Zip <br />Lot 2 <br />SP If31-94 <br />Attach four 14) coPies ot Plans foi proP�»eU wo:� � Dr�v.� to x,ale ar.tl nol�t �niq'oiloc,mg as apulicalih=. <br />• Property Lines • Cen��°ilinr nf Slree� <br />• Ouiline and dinlensions o� all exntinq and m Ictlicale North <br />P��Gosetl sVuctures on the Irn • Show any rnoaos�tl qrac!�ng changes <br />• EriS�ing and propo5ed u!i6lie5 • Show mpa5urernenL•; <br />di7:Wi <br />Phonr <br />F'hcne <br />PERMIT CONDITIONS <br />t. All calls tor inspection shall be made 2a hrs. in advance - phone 259•8810. <br />2. All work shall be pertormed in accordance with ihis permit and currenl City of Everett Desic�n and Construction <br />S�andards and Specifications. <br />3. Call Location Undergro�nd Service 48 hrs. before you dig. TOLL FREE NUMBER j-800•424-5555. <br />_� ,`, _ <br />����� � �%� <br />A4proved lor onstruction �Dr,1�a� <br />�'� _i .� !�(�/,CQ S <br />FI L � ECTI � N�— � Date <br />Approved as ConstructeA <br />PUBLIC WORKS DEPAHTMENT <br />3200 Cedar ;ireet <br />Everett, N'A 98201 <br />Phone:259�8810 <br />ncKNow�Eo�aer.ir_rvr or coNoinoNs <br />w <br />I <br />Y � <br />is <br />0 <br />� <br />Y / <br />V <br />a <br />1 hr, undrvrsianed oviner/�PPlic; nt herebY ag��ees to hold and save h;e��.r <br />..,s Ihe Gity of Evarett from any and ali claims tor tlainages. a�sis. <br />o���,enses. or Causes ol aclion that may anse because ol installs��on <br />anct maintenance �f lne improvement or other right-of�way use heielo <br />appl�ni; tor and further a9ree5 to remove same upon notioe Irom the <br />lS,'�v ai;rf to repiaca uu�lm proPerry damaged �hereby- <br />�.�---_-��7 f S � J - <br />Sic�naWre ot Applicant Dalu <br />WOP.K 9l�iliOFIZED B1' TFIIS P IT MUST BE STARTEJ Wll"HIN <br />78p DAYS OF DATE PERIv11T IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUEU �(O GOMPLETION. THIS PERMIT MAY BE <br />CANCFLLED BY THE CITY UPON ANY STOPPAfiE OF WORK ON THIS <br />PROJECT OVER 90 DAVS DURATIOIv. <br />