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_ ._ � <br /> Date 7-15-94 k /(� � <br /> Publ¢WorFs oprmil� __[/�1—� <br /> Appiicat�on For �y e�,e� o,.m •__�1$ <br /> PUBLIC WORKS PERMI� MiLI¢WO�kSFpC ---� <br /> ¢ T��.,�v�� s <br /> ���.Q� � lrss 4nu� Fee P;up $ <br /> Print or Type Only TO POSTING� � � g � � � a`g��°°�S �°$�'�•'— <br /> ��� V(�7 NCU �OpO .Y 00. p pN � <br /> 0 M � N M M � M N � <br /> `� � N � t��'�'.� <br /> John Robinette 1831 Colb Ave Everett W � 9 �O1 �252-2500 � " <br /> OwOCr �Ma�iiny qtldfCgS ��_O f, 2 li ,` <br /> 8���� <br /> David Robinett Mallard Homes 3601 Colby �'ve ������g��l°1 ��_ 3�4 o'L` � � <br /> A licant — —�--- -- --_.___ � 6477 <br /> PP ty1.��Lqq �1ddrCss Crty ZIP Phonc -- <br /> Describe Proposed Work new house <br /> Prolect Address 1�1 knnwn! Z�1y�?i��e�. �f�-���� � <br /> A�feCh fOU�(4) CaPi�c Of plan5lo� ProP�SeJ �t'o'� � Dri�•. ti .�,d., q^,i poL, Ihix foiicming as anulir.ahle: � <br /> • Property Lmes � <br /> • Cen�erlinr nl sirpe� � <br /> • Outline and dimensions ol all existinq and • In�icah� North <br /> proposetl slructurec on the Ipi • 5how any r.ropose�'yratlin9 r,hanavs <br /> • Exi5ling and propo5ed ulilities • Shnw measurementS <br /> DO NOT WRITE B[�ON' fH15 LINE � <br /> PERMIT CONDITIONS O <br /> 1.All calls for inspection shall be matle 24 hrs.in advance-phone 259•8810. <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and Construction � <br /> Standards and Specifications. ' <br /> 3.Call Locatian Under9round Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424•5555. <br /> 9 Ueh,l/ i, �;c:c-�1 -�=a�-✓1 �� �lc v,-�4 Z <br /> � 0 <br /> E � 0 � <br /> H <br /> � <br /> O <br /> a <br /> ACKNOWLEDG[h1ENT OF CONDITIONS <br /> _ _ The unqnrsiqned owneU.lpp�iCOni hprf.by agfBes�O hold dnd 5ave harm- <br /> --j less the Qty of Everetl from any and all claims lor damages. costs. <br /> �(/�� � � e.penses. o� causes ol acGon that may anse because ol mslallation <br /> �_ � � � (� 7-G'�-��L�- i and maintenanr.e o! the improvement or o�her nght-oFway use hereto . <br /> � � �;P���d i0r anq further aqrees to iemove same upon notice Irom Ihe <br /> Approved onshu on Cate � �:.�,��;h ���.E. ����•oubbc <br /> I .P prooerty damagetl thereby. <br /> `�Z f7 ( /1 \, <br /> FINAL IN CTI Date I�`'�_�� V�� <br /> Approved as Constructed i �uJnatwe ol ApPhcant Date <br /> ���� PUBUC WORKS DEPAFTMENT `.'dORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet I 190 DHl'S OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA gB201 BE DILIuENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259•8870 I CA��CELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS <br /> , PRO.IECT OVER 90 DAYS DURATION. <br />