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Date 3-19-93 6 -31 -2�l -S "m"wax, P"'- `13� � <br />Application For TO POSTING- a'"'* 39955 <br />PUBLIC WORKS PERMIT Qt'n. $. <br />am, rn ena s <br />Print or Type Only <br />PETE MORGAN 4107 OLIVE ST EVERETT WA 98203 <br />Owner Mailing Address City Zip Phone <br />CLASSIC HOME BLURS PO BOX 476 LK STEVENS 98275 334-6487 DENNIS WALCKER <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work <br />Project Address (if known) <br />NEW HOUSE <br />Attach tour 141 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 all existing and • Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1. All calls lot Inspection shall be made 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 Location Underground Service 48 his, before you dig. TOLL FREE NUMBER 1.800-424.5555. <br />QPav�dl��vcw� -F.�I P+ppW+� �rnl: k�ce�j�of.�a,e�xu+t <br />i A 1Z0\\l Wtdl at Fkalb. <br />-P&Q ivl°ICD, <br />woo l2� �3 <br />Approved for Construction <br />Onto <br />FINAL INSPECTION <br />Dote <br />Approved as Constructed <br />PUBLICWOPAR:MENT <br />0UB Cedar Street Street <br />Everett, WA 98201 <br />Phone: 259 8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />7 <br />Z <br />0 <br />0 <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims for damages, costs. <br />expenses, or causes of action that may arise because of installation <br />and maintenance of the improvement or other righl-obway use hereto <br />applied an further agrees to remove same upon notice from the <br />Ci� to r placate public arty damaged thereby. <br />_ a�� -� G-z- fl <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PE;MIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CI-Y UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />