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Da�e 4/10/92 ( � c�o�Kwon�r��mn��� <br />Applicalion For <br />Bay oea • <br />PUBLIC WORKS PERMIT ^°',a;.r`� . <br />u..�od r.er.a • <br />PrinlorTypeOnly Tn pOSTING i Z— ��5> a.�."`.��. • <br />Cherlea Werren lOc- Ilarborviev Ln Everett 9820'+ 252_�54fi <br />Owne� Maibng AtlAiess Cily Zlp P�one <br />Donatd Counsell (atchitec[) 252-I111 <br />ApDLcanl MailingAtldress City Zip P�one <br />DescubePmposetlWork ^A����^^�A��aT^�{^^ — CF➢ ., <br />Prolect AOAtess pI Mnownl <br />1004 harborvicw <br />PtIBc� IOm 14� ro0�e5 0l plan5 tor proCoseO worM � Di3w IO sca�e anE nole I�e lollowing as apphCable: <br />• Pmperly Lines • Genlerbne ol slreet <br />• Oulline anE Eimen6ions ol all eRiStinB ancf • InEiwte Nort� <br />proposetl structures on ihe lot • S�ow 9ny proposeE gradinB �henBes <br />• E�isling and pm0osetl uliliGes • Show measuremenls <br />PERMIT CONDITIONS <br />1. All calle for in6paction 6�e11 be maCe 24 �rs. in ativentt � D�one 250•8870. <br />2. All work 6hall �e pedormed in accortlanc? with this permit en� wrrent Gity ol Everet� Design entl Consiruction <br />$I00E6fd3 PnE $O�I�iLB�iOl16. <br />3. Call Locelion UnOerpround Service 4B hre. belore you AiB. TOLL FREE NUMBER i•800�24•55SS. <br />��L��,� .G=�- �J.�.�,,,f %�ri ,�i"q,cu�v�� <br />l <br />I App�oveC lor Conslruclmn Dato <br />FlNAL INSPECTION Date <br />App�ovecf as Constmcted <br />�PUBLICWORNSDEPARTMENT <br />�200 Cetlxr Slreet <br />Everetl. WR 98101 <br />P�one-�59�8810 <br />�> y�.�� � <br />ACNNOWLEDG[MENT OF CONDITIONS <br />Z <br />O <br />� <br />� <br />0 <br />a <br />The untlersignetl ownei/apP��canl �ereby egrees lo hol� anG save �a�m� <br />less Ihe Cdy ot Everetl Imm any and all claims lor Eamages. costs, <br />P�Ven5C5. ai CdU5C5 OI 0L�i00 I�dl mBy d�iSC bPWuSC 01 mSIdIIBii011 <br />anE TTiI11PI10�CC OI IM1E 1IIIplOVP.IIIPl1I Of OIIIC! fIBI1��0�'Wdy IlSC hQlC�O <br />�.pplieG br and luriher ngrees lo remove same upon notice Irom I�e <br />C�Iy and lo repiate publ�c p�operty damageC Ihereby. <br />Signalure ol ApP�icenl Date <br />WORK AUTNORIZED BV THI$ PERMIT MUST BE STARTEO WITHIN <br />1B0 DAYS OF DATE PERMIT IS ISSUEO ANO THEREAFTER IS 70 <br />BE DILIGENTLY PURSUEO TO COMPLETIOIJ TMIS PERMIT MAY BE <br />CANCELLED BY THE pTY UPON ANY SiOPPFGE OF WORK ON THIS <br />PROJECT OVER 90 DAVS DURATION. <br />