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8 <br />Applk�tbn Fa o <br />WORKS`PERMIT <br />PUBLJC WORKS DEPART�ENT <br />3200 Cedar Street ;Q <br />Everett, WA 98201 2591B810 <br />U <br />5 R n�c � T'- <br />Describe Proposed Work <br />Melling Address �� � <br />�'> a o <br />PR vt Dr�v� tJa <br />PROJECT ADDRESS (if known) 7� - H� �h 4n p <br />oe�a � / <br />a�w� wor� P«�,rc • � 8 � (%�o <br />Publk Works Fee S � <br />/}SPhau.lf <br />Attach tour (4) copies of plans for proposed work - Oraw to scale end note the following M applkable: <br />'Property L1nes �Outilne and dimenslons of all existing and proposed structures on the bt 'Existing end proposed WIIOies <br />'Centerline of street Nndicate Nohh 5how any proposetl grading changes 'Show maesurements <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in adva�ce - phone 259-8810. <br />2. All work shall be pertormed in acr,ordance with this permk and current City of Everett Design and <br />Construction Standards and Specifications <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4245666. <br />r <br />Approve for onstruc ion � Da� b <br />,Ei•�C'nl�� �rc�-- 7 -/3— S8 <br />FINAL INSPECTION Date <br />Approved as Constructed � <br />ACKNOWIEDGEMENT OF CONDIT10N5 <br />The undersigned ownedepplicant hereby agrees to hold and seve hartnless <br />tha City ot Everett fiom any and ell clalms for demages, costs, axpenses, or <br />causes of action that may arise bocause oi installatbn and malnienance of <br />the improvement or ottier ripht-of•wey use hereto applied lor and furtherap�ees <br />to rertrove same upon notice from the City and to replace public propMy <br />damageA thereby. <br />'�/✓jan/c LC�C6+[� �e / i 4 / �r � <br />Signature of Applicant -���^ Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMfT IS ISSUED AND THERFAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PR0.IECT OVER 90 DAYS DURATION. <br />