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/- <br /> � �iica�ion For Date — 6-28-99 <br /> PUBLIC WORKS PERMIT pubiicWorksPertnitM �� <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street /)/)/� <br /> Everett,WA 98201 (425)25J-8810 Building Permit M �6tCT!'R'77[!S-044 <br /> TYPE OR PRINT ONLY TO POSTING � � 9 �� Public Works Fee S _2O <br /> Carl Larsen 9832 r[arine Viev Dr Mukilteo WA 98275 425-349-!451 <br /> Ownnr Mailing Address Ciry Zip Phone <br /> Gary Parkinson 252-2153 <br /> Applicent Mailing AdGress Cry Zip Phone <br /> DeSCribe Proposed Work add two unite for a four- lex W <br /> � <br /> � <br /> PRWECTADDRESS (it known) 3319 Oakea Ave /�} � G f � � <br /> Attach four(0)coplos plans lor proposed work•Draw to scale and note the iWlowing If applicable: O <br /> •Properry Unes •Oulline and dimensions ol all existing and proposed strudures on the bt •E:isting and proposed utilloes ' <br /> •Centerline ol street •Indicate Nwth •Show anv proposeA gretling changos •Show measurements <br /> DO NOT WRITE BELOW THIS LINE Z <br /> PERMIT CONDITIONS: � <br /> 1. All calls for inspection shall be made 24 hours in advance • phone (425) 257-8810 <br /> 2. All�vork shall be periormed in accordance with this permit and current City of Evereh Design end � <br /> Construction Standerds and Specifications. , <br /> 3. Cell Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-42�-5555. //� <br /> n \// <br /> 9-, �p�hGG GX�S�inq �}° �jidf.SCwY�' W� �0�� SDR 3S PVG O <br /> .�w, Px,� Id�,� � mayr I;v,c M �.Gl.� • f�' �S�d p Iz�Ns LL <br /> ���1 �2 � �o� � �� s S�'`t�vrC M�sf bc onl•, lov� ld �� a. S.S . <br /> �'. (��wto✓e �.,�d r� �ce s���� k o� r,r���r� P✓apov'� -�fi��e <br /> � s� �� � �c, . <br /> (9. (�ncvE �►s�ur� -Eo s�dcsax�✓ �dd G�. ;� � pzw��h� ��-e� . <br /> o� G�le� �+ ,s� #�02 �41c� 5(oPc -fo ne�a c.�. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> 7 � �7 The undersigned owner/appticant hereby agrees tu hold and save harmless <br /> / the Ciry of Everett from any and all clalms f.r damages,costs,ezpenses,or <br /> prove or s ru �n a� causes of action tiet mey erise because of ins�allation and maintenance of the <br /> improvement or�mer rightof•way use herelo enpiied for and fuMer egrees to <br /> ��- .i"- � � z _�� remove s e upon notice from the ity anA to replace publk property dam- <br /> �' ged tl <br /> FINAL INSPECTION Date <br /> Apprwed as Constructed <br /> � na ure o pica a e <br /> VK)RK AUhqR�D BY THIS PERMR MUST BE STARTED WRHIN 1B0 DAYS OF DATE PEFi�MT IS ISSUED NJD 1}EF�AFIER IS TD BE DIl1GENTLY PURSUEp Tp <br /> OOMPLETION.THIS PERMR MAY 8E CANCELI.ED BY TFE CfTY UPON ANY S10PPAGE OF V�17f�(ON T}iIS PRQECT OVER 90 DAYS WRATION. <br />