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3/17/93 <br /> Date \ �' Z ��Z.�- � p []-7 � <br /> V Punhc 1Yorks Permn• 13 Q�J I <br /> Application For e�ao oeo� . 39910 <br /> PUBLIC WORKS PERMIT Pu0lip�y0rk6Fe0 <br /> Totel Fee S <br /> Print or T �Q �OSTING_._ i�-i z -9� �essaooi FeePa,o S <br /> ype Only Baiance0�e S �� <br /> Pacific Garages Inc 616 Laurel Dr Everett 98201 259-1311 <br /> Owner Mailing Atldress <br /> ���Y Z'p Phone <br /> Ed Olson Same <br /> Applicant Mailing Atldress <br /> City Zip Phone <br /> Describe Proposed Work New house and demolish existing house <br /> Project Address�il known� Z620 E Grand � <br /> Attach lour 14)copies of plans for proposed work� Draw to scale antl note ihe following as applicable: � <br /> • Property Lines • Centerline ot street — <br /> • Outline and dimensions of all existing antl • Indicale North � <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements <br /> DO NOT WHITE BELOW THIS L�NE � <br /> , PERMIT CONDITIONS O <br /> 1.All calls for inspection shall 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 Design and Construction ' <br /> Standartls and Specilications. <br /> 3.Call Location Underground Service 48 hrs.beforc you dig.TOLL FREE NUMBER 1•800-424•5555. <br /> � <br /> O <br /> � <br /> � <br /> O <br /> a <br /> n� � <br /> � <br /> l" ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the City of Everetl irom any and all claims for damages, costs, <br /> �� �G� ezpenses, or causes of action that may arise because of installation � <br /> ��� �/ �!f? and maintenance of the improvement or other right-of-way use hpreto <br /> Approved br Consiruchon �� � applied �or end �wBter agree5 �o remOve Same upon no�iCe Irom the <br /> Date City and to replace public property damaged thereby. <br /> ""� �� <br />