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, .e� , ., ..y ry'.�:;nvrryn.:�. ,,.. _—. _—__'--__ _ �--_ <br /> �— <br /> '� Date Nov 17� 7.987 �� � PUEIic Works Permi�a _ �_� <br /> Applica!ion For am9.oeo�.•_ 8�9178 <br /> PUBLiC WORKS PERMIT P°n���Wo�k=Fea <br /> Totel Fee $ <br /> Less Appl Fea PaiC S <br /> Print cr Type Only , ea,a"=e o�o s l� <br /> Timber Plex Development 1231 So. Director St. Seattle, S4A 96108 762-2397 <br /> Owner Mailing Address City Zip Phone <br /> Same <br /> Applicant Mailing Address City Zip phone <br /> Descrlbe Proposed Work _�natruct new sinale farnilv <br /> Project Address(if known) � Fast Hea her Wav ' � <br /> Attach IoaN�)copies of plans for proposed work• Draw to sca�e and note the following as apalicable: � <br /> • Property Lines � � Centerline ot straet � <br /> � Outline and dimensions of all existing and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show meesurements � <br /> DO NOT WRI i E BELOW THIS LINE O <br /> PERMIT CONDITIrJNS <br /> 1. All calls for inspection shal�be made 24 hra in advance• phone 259•881 5. � <br /> 2. All work shall be pertormed in accordance with this permit and current City of Everett Design antl Construction <br /> Standerds and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig.TOLL FREE NUMBER 1•800•424-5555. � <br /> 4. If drivahay for this lot Q croeses ever Lot 3, an easement document muet <br /> he recorded and a copy turned in to the City Public Works Dept, O <br /> 5. No clearin9 is to be done oest those limits ncted on the recorded short plat. <br /> � <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to holtl and save harm- <br /> less the City of Everatt irom any and all c�aims for damages, costs, <br /> expenses, or causes of action that may arise because of in�tallation <br /> �� /�� � / �7/97. and maintenance of the improvement or other right-of-way use nereto <br /> �� applied for and fuAher agrees to remove same upon notice from the <br /> Approvsd for Constructi Date City nd to replace pu ic property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed ignature of App i t _�- ` Date <br /> everett PUBLIC WORKS D'cPARTMENT WORK AUTHORIZED BY THIS PERMIT MU T BE STARTED WITHIN <br /> � 3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:259-8815 CANCELLED 8Y THE CITI'UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />