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� � <br />H <br />C M <br />,�,�Hm <br />H�� <br />�! C] <br />� 1"1 � <br />y <br />H <br />Z <br />o�ei <br />��8 <br />Q. f� <br />ry� <br />g�� <br />A�y <br />� O � <br />i <br />� <br />� <br />� <br />_� <br />�I <br />Date 6-12-90 <br />Application Por <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />y-3� zti-4 <br />T`? PQSTING 3�3i-�3 <br />Pub4t WO�h�Vmmit • JO�WZ/ <br />B�og �eo�. • 90/24837 <br />Puobc Warkafee <br />lotaliee S <br />Les�Pool FeePaiE S <br />BaianceDue S ��~ <br />John Butters 330 Neather Everett 98203 339-9039 <br />Owner Mailing Atltlres5 City Zip Phone <br />1054 N. Park Dr. <br />Dave Hansen Clistom Homes, Inc. k8t8YX�X88tt8XHX Everett 98203 259-2950 <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work <br />Project Address lii known) <br />Attach four (4) copies of plans lor proposed work • Draw to scale antl note the lollowing as applicable: <br />• Property Lines <br />• Outline and dimensions ol all existing and <br />proposed structures on the Ict <br />• Ezisting anG proposed ulilitie5 <br />G <br />• Centerline ol street <br />• Indicatc North <br />• Show any proposetl grading changes <br />• Show measuremenis <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•6810. <br />2. All work shall be pedormed in acco�dance with this permit and current Ciry of Everelt Design and Construction <br />Standerds and Specilications. <br />3. Call Locetion Underground Service 48 hrs. before you dig. TOLL FHEE NUMBER 1•800•424•5$S5. <br />'�I y y�� <br />� � �.t� ���'"`x, _ Co — 2�- 90 <br />� Approved lor Cdr�etrudio� / Da�e <br />�i�� / !'Z. <br />���/ J <br />FINAL INSPECTION Date <br />Approvetl as Constructed � <br />everett PUBLIC WORKS DEPARTMENT <br />� 3200CedarStreel <br />Everelt, WA 98201 <br />Phone: 259�8810 <br />ACKNOWLEDGEMENT Of CONDITIONS <br />W <br />H <br />_ / <br />Z <br />O�� <br />H <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm� <br />Iess the City ol Everett Irom any anA all claims Icr damages. cosis, <br />expenses, or causes ol action that may arise because of installation <br />and mainlenance ol Ihe imp�ovement or other righ4ol-way use hereto <br />applied n�nd�IIr1 er agrees to remove same upnn notice Irom ihe <br />Cit nd io replace p��ic�(i+9RiiTy'"Uamegt`d Ihereby. <br />.V��ORK-ADTl14RIZE� BY THIS P�tv11Ti0WSi BE SYARTEb WITHIN <br />1A0-DAYS OF DAT PERMIT 19 ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED-TO COMPLETION. THIS PERMIT MAY 8[ <br />CANCELLED BY THE CITY UPON ANV STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />