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W �y�y <br />A 7�7 AC <br />C � <br />H�M <br />�a o <br />z <br />��~AH <br />x <br />H <br />O�d�y <br />Q�f] <br />�y� <br />ha H <br />�� <br />H <br />��N <br />O� <br />�� <br />�� <br />I `� <br />Date 1/11/93 � ' � ` � <br />Application For T� POSTI NG y-��`' <br />PUBLIC WORKS PERMIT <br />Print orType Only <br />Pubi�c �PoM Pmm�t � Q�/ � , `� <br />aia9 oeoi. • C3921� <br />Pu0!m Works Fce <br />tolaiFee S <br />Lees Aoot Fee Pa�E S <br />n^ <br />Baiance Ouc $ � � <br />Richard Ken Bigelow 8113 Wayne Ave Stanwood S�'A 98292 652-8943 <br />Owner Mailing Atldress City Lp Phone <br />Same <br />Applicant <br />Describe Proposed Work <br />Mailing Address <br />New house <br />� <br />Project Address �il knownl *�"'�' � "' """- "�"' - <br />Attach lour (4) copies ol plans �or Froposed work � Drew to scale and note me lollowinq as applicable: <br />• Properly Lines <br />• Outline antl dimensions ol all ezisting and <br />proposed 5trucW res on iha lot <br />• Exis�ing and proposed utiliiies <br />• CeNerline ol sVeei <br />• Indicale North <br />• Show any proposetl grading changes <br />• Show measuremenis <br />PERMIT CONDITIONS <br />1. All calls lor inspection shall be made 24 hrs. in advance • phone 259•8810. <br />2. All work shall be pedormed in accordance with ihis permit and current City ol Everett Oesign and Construction <br />Standards and Specilications. <br />3. Call Location Under�round Service 48 hrs. belore you dig. TOLL FREE NUMBER 1•S00•424-5555. <br />7, �''—ct-�ic✓:;��./ �(.C�!'�. �a't•��1Sct�4�C.,c.i. C � ,���:�(� p'7- <br />Q- ��-Q-i� �� Cill �� .,l���U t_ f. I17,_ rt il J.C1.l C"f' ��-(,�-tn�� r <br />•� 0 <br />.C�.i� v�-/� /�y/�� <br />Approved lor Cons ruGlion � � te <br />�/���i <br />y- � �s� <br />FINAL INSPECTION Date <br />Approved as Conslructed <br />��PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slreet <br />Everett. "'A 98201 <br />Phono: 259�8810 <br />C c7zcil: �¢J) <br />AGKNOWLEDGGMENT OF CONDITIONS <br />W <br />� <br />�w <br />_ / <br />I•1 <br />�i <br />� <br />� <br />� <br />a <br />The undersigned owner/applicant hereby agrees to hold antl save harm� <br />less the Gry of Everetl Irom any and all claims for damages, costs. <br />expenses, or causes ol adion that may arise because ol installation <br />antl mainlenance ol ihe improvement or other right�ol�way use �'�eieto <br />apPlieA br and further a9rees to remove same upon notice Irom Uie <br />Ci!y ancjlo replace public property dama9ed Ihereby. <br />Si9na�uie OfAppliCant / -- ua�e <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMITIS ISSUED AND THEREAFTER IS TO <br />BE DIIIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />