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Date �-Z9-94 <br />Applicolion Fo� <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Kurt Ehlers <br />Ownei <br />Papi Design <br />ApplicaM <br />'� �'�JSTING ��-z�-qy <br />8455 Everett 98 <br />A^;�inn.; .�r.Urubs <br />Rick Anderson 258-'L829 <br />�',,�L„„1 Tddre)55 <br />Describe Proposrd Work [Iiplex <br />� <br />—�S� --__ ._._ _ <br />�. �9��jJG - <br />Pro'ect Address il knnK•n; 3527 Oakes Ave <br />I 1 ----- ---- - -- <br />iO1C <br />Crt�� <br />— OA,eG�.S -�y,E,..._ <br />Puhl�c 1VOrF5 Permii v� —�J � S / <br />e�n�� onot , 4508 — <br />Pu1�Lr.WorFsfcr -- <br />Tnldl Cpp 5 <br />1e55 4ppl Fre 0,�+� 5 /� <br />Bdlan.ppuu GJ` �ll�� <br />002-3zZ5�C� �/93/ <br />��� <br />��� Phone <br />AffaCh fOUf (4) COP�CS ol Plens toi P�oPuSerJ �cnr.. D�av. In _� .i'�,...i'i.� nr.�p Ih�, fp�bR�mg aS.lDUhca6li8 <br />• Property Lines <br />• OuNine and Aimensions ol all e.is'inc� ;mtl <br />Pwpose� structures on Ihe Irn <br />• E�isting and proposed utilities <br />DO <br />• Crtnte�lin9 nf 5,re•+� <br />• IctliG3D) Nar�h <br />� �how .lny r.reposed yradmn Chtinq�'s <br />• $f10'�n� m��.lGUr�inen�5 <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259•8810. 10/19/94 1:46PM ]OOFiU�c.9^ <br />2. All work shall be peAamed in accordance wilh this permit and current City of Everett Design and Qonstruction � <br />Standards and Specitications. !��pg <br />3. Cal� Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800- ��! 5Tj5 <br />�G �954.50 <br />�. .SGC�i Gt-Y'z` �/L �•.+y �a� �-1,c� ,/jf/ �C�/�� PLEG 4209.00 <br />���� � /� /� —9� MECN 5160.ti0 <br />��0� �e�e��� £1t�6 �1Q.00 <br />SRCHFG 88.50 <br />DF.IVW4 S20 70 <br />FL4 CH 925,0� <br />N00008240 <br />;JRTER f750.00 <br />N�0029B83 <br />SEWEF. �70.D0 <br />S�'SDEU 3�?5,00 <br />CNECf; :^452.0 � <br />.— _._- ..--.-i <br />� .�!!G �� —�vl!�.%� <br />ApproveA for Cons clioi / <br />�� � <br />�� i��-fi- , <br />FINAL INSPECTIGN � <br />Date <br />Approvetl as ConstructeA � <br />PUBLIC WORKS DEPARTMENT <br />3200 Ceda� Street <br />Everelt. WA P8201 <br />Phone:259�8810 <br />ACKNOWLEDGEfAFN7 OF CONDITIONS <br />W <br />� <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />i h�� i,^d�.i>,aned owneVauphcant P�oreby aqrees to hold anrl save harm� <br />less ;li�:� f,dy o� Fvarett Irom any ,3nd all c;_4ns tor Aamages, costs. <br />�•penses o� causes ol actroe that may anse hcwuse of installation <br />and m,iintnnanr.e d th�� miprovement oi othe� ngh��of�way use heie�o <br />ar�,i���; lor and furfhar aqrees to remove samn upon notice irom Ihe <br />�, 7� .i^�11n r.piaCa oubhC � roprity ilgmatJed Ihereby. <br />_ !i_ �,C� ("� , G ��,/'J <br />�unatwr, of Apphcan! pa�� <br />i'V P.I( 4UiHORIZED BY THIS PERMIr MUST BE STARtED WITHIN <br />�90 DFVS OF DATF PERMIT IS ISSU[D AND THEREAFTEF IS TO <br />BE DILIGCNTL\' PURSUED TO COMPLETION. THIS PERMIT tdAY BE <br />C4^JCELLED B'f TF{E CITY UPON AW STOPPAGE OF WORK ON THIS <br />PROJECT OVLR 90 DAYS DU(iATIpN. <br />