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Date 6/20/95 � - <br /> �'uUM1f.V/O�AS Pq�mil• <br /> Application For �ain� oeoi.. 48649 <br /> PUBLIC WORKS PERMIT o„�,�.�,vo,�=F,.e -- <br /> To�a���� s <br /> �ess nom Fee Pam 5 <br /> Print or Type Only o.,�,�«o�,. � <br /> RANDY & DEANNE YILKENTON 7224 OLYMPIC DR EVERETT 98203 348-0618 <br /> Ownei iA1aiNng Add�ess <br /> l,�tq 7_in Phonu <br /> AHPlicant M.� i�nc Atldrass —'--. _ —_._ <br /> C�h� Z�P Phone ______ <br /> Describe Proposed Work _ BEDROOM_�_ FAi�[ILY�_LAUNDRY_ROOM ADDITION____ <br /> -- ------ <br /> _..__ --------------- <br /> Projecl Address Uf knownl 7224 OLYMPIC DR � <br /> AffBCh IOUf 14) COPICS Of PIdnS tOi PfOPOSCd N'o'h � [1idv. Ip .i:�li�� .Intl pOb th�?!OIIuWipq 3::dPUIIC3blt). � <br /> • Proper�y Lines • Cen�ri6ne nf Sireel <br /> • Outline antl Aimensiona ol all eaishng and • Ir���aL• � <br /> proposed slructures on Ihe lot - Norih <br /> � �����i�� airy r.ronoserl yratl�ng r.hanyes <br /> • Existing and proposed utilities • Show rneasuremenis <br /> DO NOT WRI7E B[L01M1' THIS LINE � <br /> PERMIT CONDITIONS O <br /> 7.All calls for inspection shall be matle 24 hrs.in advance•phone 259•8810. � <br /> 2.All work shail bs pertormed in acwrdance with this permit and current City of Everett Design and Construction ' <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-$Op•QQ4-5555. <br /> � <br /> O <br /> �UBLIC WOAKS PER411T � <br /> tvOi OUIREO � <br /> ;Y � O <br /> �ATE_ ° ; � � <br /> a <br /> ACKNOWLEDGCAIENT OF CONDITIONS <br /> . 1 hr u��d.�rs�qnetl ownrVapplir.ant he.reUy a�jrees to hold antl save harm- <br /> � �ess thi• C�ty oi [ve�ett Irom any and atl claimy foi Aamage.s, costs <br /> i �'�P���ses. or causes ol action that may ans� Uecause ol msiall��ion <br /> i anA mainienanr.e o! Ihe improvement or other nghl-of-way use nere�o <br /> Approved tor Construct�on pa�i - � ��cf����d �or and Iurther agrees to remove same unon rotice hom ihe <br /> i C�!o.:v:r to rrPl�ce nubhc proner;y damaged therebY. <br /> FINAL INSPECTION p �� I <br /> AUProved as Cunsiructed I <br /> � � Sinnature ol APPlican! Date <br /> PUBLIC\VORKSDEPARTMENT I 11'ORK �UTIinRIZEO 8V THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet �90 DHYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett.WA g820t I BE DII.IGENTLI' PURSUED TO COMPLETION. THIS PERMIT MAv BE <br /> Phone:259�8810 I CnNCE�LED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> , PRO.IECT OVER 9( DAYS DURATION <br />