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Date— 6-29-94 <br />� vuoi¢ \Vorws Pnimit � e L �nO /Z� <br />I �h19 Deo�.• Y4%OL _ <br />Applir.a�ion For � <br />PUBLIC WORKS PERIdAIT ¢ <br />Print or 7ype Only TO POSTING ��/� � <br />� <br />O <br />ti <br />McCallister Const PO Box 3406 Everett 9820: <br />�Wn['i <br />Owner <br />qpplicaM <br />Describe Proposed Work <br />dm�.; Acidress <br />new house <br />AU(I��.`SS <br />J� g � g � <br />�rmoo� <br />.�pN e�aM <br />M M <br />, � � � L � N � <br />f <br />Gr: Zio <br />vuW�cWorwsFen —___. _— <br />,,�.,�F�e 5 <br />t�•ss anW Fee� Pa�p S� <br />e.,��,��,���� 5 <br />�� � Nnoni, <br />.-� � <br />H <br />H <br />__ _ Phone —__._ __.__. <br />Proiect Address u1 known! _ �114_H�h1anA Di ___ _______------ — <br />Atlach luur (4) coG�es ol Ula��s to� ProP�sed wn��. D�ar: t:� -�.i����..�".,i ���.h� tiie toiWwiny as anUlic2h�e <br />• Property Lines • Ce•.,tniliar nt Sireei <br />• Outline and dimensions o� all existmg and • InCicaD:: Nortn <br />proposed slrw.lures on u�e lo� • Sho�+' a��y rneposctl i�radmn r.hanues <br />• Shnw measurements <br />• Existinc� and proposed utiirties <br />PERMIT CONDITIONS <br />1. All calls for inspection sheli be made 24 hrs. in advance • phone 259-8810. <br />2. All work shall be pertormed in accordance with this permit and current City of Everett Desi9n and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800'424'5555. <br />U�xa�C ,�-rz.�-= <br />FINAL INSPECTION <br />ApProved as Constructed <br />�AII`�k'e� PUBLIC WORKS DEPARTMENT <br />� 3200 Cedar Slree� <br />� EveretCWA982ot <br />Phone:259•8810 <br />ACKNOWLEDGEMENT OF GONDITIONS <br />� <br />O <br />� <br />� <br />O <br />a <br />1 h., ,�„d,:i r-cmed owner/aPPhCaN hereby a9rees to hold and save harm- <br />----- �-- --� i,.ss ;h,. Gity o� Everett Irom any and all claims for damages, costs. <br />�, c�*pi°��ses. o� cwses ol ar.tion Ihat may aris= because of mstallation <br />�/��//f �. and maiMcnanr.e �! ���� �^�P�ovement or other nghFo4way use here�o <br />(�i'' i,�^�i�r": Icr and lurther a9�ees to remove same upon notice Irom Ihe <br />D;J�� � r,��, .�;•,�, io n�placc uubl��. p�onertY damaged thereby. <br />1 <br />�� <br />Ji-- Date <br />Sian ure ot AnP��can! <br />1NOR AUiI-fORIZED BY THIS PERMIT MUST BL� STARTED WITHIN <br />�g0 AYS OF DATE PERMIT IS ISSUED AND THEREAFTC-R IS TO <br />BE DI IGENTL�' PURSUED TO CO^APLETION. THIS PEHMIT MAY B[ <br />CANC LLGU B'f THE CITV U"OPJ FNY STOPPAGE OF WORK ON THIS <br />PAO.IEGT OVER 90 DAVS DUR:�I �ON. <br />