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• _t <br /> Date 3/28/85 ��. <br /> PuOlic WorM�P�rmn t '� �8 <br /> Appllcallon For eieo.o•ou B5/1 3 <br /> PUBLIC WORKS PERMIT PuElicWork�Faa <br /> Tot�l F�a � <br /> Ln�Appl Fn PHD s <br /> Print or Type Only BH�nce Du� • 'C.00 <br /> 7sY93 <br /> James Kemp 2615 Oaks Everett 98201 259-5435 <br /> Jwner Mailing Atldress Cit <br /> Y ZiP Phone <br /> Perma Silt Ind, inc. 3416 Everett Avenue Everett 98201 258-4171 <br /> Applicant Mailing Address City 2ip Phone � <br /> Construct Pole Suilding � <br /> Descrlbe Proposed Work <br /> W y � <br /> 2615 Oakes ~ � <br /> P�o�ect Address(if known) � m <br /> Attach four(4)copies of plana for proposed work- Draw to scale and note the foltowing as applicable: � � <br /> � Property Lines • Centerline ol street � y <br /> • Outline and dimenalona oi all exlstlng and • Indicate North � <br /> propoaed atructurea on the lot � • Show any proposed grading changes � <br /> • Exlsting end proposed utlllties • Show meesurements � <br /> z <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O y � <br /> 1. All calls for Inapaction shell be made 24 hrs in advance• phone 259•8815. 't <br /> 2. All work ahall be pertormed in eccordance with this permit and current City ol Everett Design and Construction ' ,Q� � <br /> Standarda and Speclficationa <br /> 3. Call locatlon Underpround Service 4B hrs. before you dig.TOL�FREE NUMBER 1•800-424•5555. � � <br /> y <br /> O � <br /> H , � <br /> � � <br /> �g a � <br /> � <br /> H <br /> ACKNOWLEDGEMENT OF CONDITIONS � <br /> The undersigned owner/epplicant hereby agrees to hold and save harm- <br /> less the City ol Everett from any and all claims for damages, costs, <br /> ���� ��j�s erpenses, or causes of action thal may arise 6ecause of installation <br /> '> and maintenance ot Ihe improvemenl or olher right-ol-way use hereto <br /> Approved lor stiuction applied lor and further agrees to remove same upon notice Irom the <br /> .���� Date City and to replace public pioperty damaged thereby. <br /> //-az` - �r ��� ., � �� /� <br /> FINAL INSPECTION Date � ���-�// �7"i/ ( jaL.-� Y � <br /> Approved as Constructed �jnature ol pl(cnbt bate <br /> everett PUBLIC WORKS DEPARTMENT WORK AUTHORI2ED BY THIS PERMIT MUST BE STARTED WI7HIN <br /> � 3200CederSireet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DI�IGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone: 259•8815 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />