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� �p <br />p � M <br />i+ t� <br />N�7A <br />� pl M <br />��� <br />� � Sf� <br />M' � <br />� N <br />f+ <br />SS N <br />� p N <br />ea � <br />p N <br />Date 9�10 91 <br />App�icalion For <br />PUBLIC WORKS PE�RMIT <br />TO POSTING_�; 9/9Z:� � ` "' � <br />Print or Type Only �--- �; �• _ <br />Sue Schwartz 2' <br />owner <br />c <br />, .. <br />Yi <.: <br />n EveYet'c 98: <br />Atldress �' �� �, �� :_ C1ry <br />� tn _[ i:: <br />� � . C� Ui _, l�i <br />f_� .._ �.i i � � <br />Address Ciry <br />Describe PropOsed Work Cnn t f ur_aasaa�-=b <br />/-�Y <br />v�oi,c w��ws re�m�+ • �� ' <br />aioa oeo� + 91/27676 <br />��n��� �vo,�, F�o s <br />.o„� Feo <br />�ess Pno� �ee P��4 S �UT <br />e��a�«•o�� s ___ <br />Proiect Address (il known) ` L7 ^ <br />Attar,h tour 14) copie5 of p�ans br proposetl work � Draw to scale and note. Cente�ine of sUeeii able: <br />• Property Lines • Indicate North <br />• Outlino and dimensions ol all existing and � ghow any proposed grading chan9es <br />proposed structures on ihe lot � Show measuremenis <br />• Existin� 3nd proposed utililius <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•8810. <br />2, All work shall be pedo�med in accordance with ihis permit and currenl City of Everetl Design and Conslruclion <br />StanAards and Specilications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOIL FREE NUMBER �•800•4Z4•5555. <br />CGC Ce.�- �� v� r",,-- �. �. i..e.:x.. <br />✓'c <br />�� <br />as Consiructed <br />��PUBLIC WORKS DEPARTIdENT <br />3200 Cednr Street <br />Everetl, WA 98201 <br />Phone:259�8810 <br />Dalc <br />_ 8_5 i <br />«�,,.�1 t;..t.,���.� <br />�� / �/`%i <br />/O <br />W <br />H <br />� <br />N <br />� <br />O <br />� <br />� <br />O <br />a <br />ACKNOWLEDGEMENT OF CO�DITIONS <br />The undersigned owner/applicant herebY a9rees to hold anG save harm- <br />Iess the Cily ol Everelt Irom any and all cl,�ims tor damages, costs, <br />expenses, or causes of :�r.tion thal may arise Uecause of installalion <br />and maintenance ol lhe improvemenl or other righ4of�way use hereto <br />applied lor and lurther ac�rees lo remove same upnn nntice Iwm the <br />Cily and lo r�place public pmpe�ty dama9ed thereby. <br />� `/ _--� ��.�2-i/ <br />�• ' � << <br />Si9na W re ol ApPlicant Dale <br />N'ORK AUTHORIZED BY TIiIS PERMIT M11ST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUEO AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPL[TION. THIS PERMIT MAY BE <br />CANC[LLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />