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� Q <br /> Oate 11/29/93 TO POSTING ��'1_ Z�� •�I �� puEllcWo�knPar��28 �� / <br /> "� BiCp.De�d.• <br /> Applicati For — <br /> PUBLIC WOR S PERMIT Pu0licWarkaFee <br /> Talel Pee s_ <br /> Lese AOV�Fee PaiC = <br /> Print or Type Q ily � � g g � g g $ �" Balence Due s Z O �o <br /> N � ~ `� � � � � � DOZ-37zyo/yB3/ <br /> � � � � <br /> Houeing Hope PO Box 7823 �Sy tt 201 -2214 <br /> Owner MaiN Ad i Zip Phone <br /> Same g � � � m � . <br /> Apolicant Mailing Address City Zip Phone <br /> Duplex and multi purpoae room <br /> Desr,ribe Proposed Work <br /> _��,� „� 232 � W <br /> Project Address(if known) '�'�-�� � <br /> Attech lour(4)copies of plans for proposed work- Draw to scale and note the following as applicable: � <br /> • Property Lines • Centerline of street � <br /> • Outline and dimensions of ell existing and • 'ndicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show meesurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> � � PERMIT CONDITIONS <br /> � 1.All calla for inapectlon shall be made 24 hra in edvance-phone 259�8810. � <br /> � 2.All work ahell be performed in accordance with this permit and curcent City of Everett Design and Constructlon <br /> Standarde and Specificationa <br /> . 3.Call Location Underground 3ervice 48 hrs.before you dig.TOLL FNEE NUMBER 1-800-424•5555. � <br /> � �� Pa r,Ein9 4r��s Pe.� a fy of .Fv��.-���f ,fr��c�,�s. O <br /> ' l7i.nir.�✓i» o{ .Z '� Clas,t' �B � QsP/�aCf o✓er y�e{�Crvsheo�l-vc�, <br /> � The ex.sf;., S�orin O�'ai� ' ��/� <br /> ,� 4'no� S'2we.-- Lines v�o/Fr. V♦ <br /> f/�e �r��oos�dPro,yrom S�oocc: /nust 6a rev.sed fo <br /> /YlCCf �/iG unif.�� P���6,�y �'oo�, O <br /> a <br /> a� ACKNOWLED(iEMENT OF CONDITIONS <br /> � The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the City of Everett from any and al� claims for demages, cost& <br /> . expenses, or causes of action that may arise because of installation <br /> � � and maintenar,ce of the improvement or other right•of•way use hereto <br /> applied (or and further agrees to remove same upon notice from the <br /> Approved for C nstr ion Date City and to replace public property damaged thereby. <br /> - r-y s,, .�_ � ( .�-y-9 <br /> FINAL INSP CTION ' Date ^ y <br /> 4pproved as Constructed n2ture of Applicant Date <br /> � PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PER IT MUST BE STARTED WITHIN <br /> 3200CedarSlreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett WA98201 BE �ILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:259•8810 CANCELLED "dY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />