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-� S /3-2 �-� <br /> � <br /> Date 5-23-94 % P�o���wo,�.Pe,m��. �' I��i • <br /> Applicafion F� , �,, ';�31 j��N� .__��_�� � Bia9.oeo�.• 44458 __ <br /> PUBLIC WORK� PERMIT Pu�TotaFeeFee S - <br /> � Less npoi.Fee Pam S <br /> Balance0ue S Z�~ <br /> Print or Type Only =y, {�, $ $ $ � � ,� $ " $ ;:; <br /> M � � � � M � N [�1 m � � <br /> N M N M M k M � <br /> Kuchinski David 113 E McGill Av� Everett 987208 355�J721S <br /> Owner Mailing,qt�.fdre Q�1 S Zip Phone <br /> b � S� � � � � 0]� � � � <br /> _ Owner � <br /> Applicant Mailing Address f,i;y Zip Phone <br /> Describe Proposed Work _ new house ( �UU�.�7 i55OPA � [j(�/yb'�S� <br /> Pxi_5��.ha hn.ii�,>l <br /> W <br /> Project Address�if known� 113 E McGill AVe _ � <br /> Atlach four(4)copies of plans for pwposed work• Draw to scale and note tne following as applicable: � <br /> • Properly Lines • Cenlerline of stree� � <br /> • Outline and dimensions of all ezisting and • Indicate North <br /> proposed struCtures on the lot � Show any proposed gtading changes <br /> • Ezisting and proposed u�ilitie� � Show measuremenis � <br /> DO NOT WRITE BELOW TFiIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be made 24 hrs.in advance•phone 259•8870. � <br /> 2.All work shall be performed in accordance with this permil and current City of Everett Design and Consiruction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800•424-5555. � <br /> � <br /> � <br /> � <br /> O <br /> a <br /> ACKNOWLEDGLMENT OF CONDITIONS <br /> F �T 5/9�� The undersigned owner/applicant hereby agrees to hold and save harm� <br /> , less Ihe Gty of Everett Irom any and all claims for damages, costs. <br /> /� �/ �� e ses. or causes of action that may arise because of installation <br /> ,�� 1�1`1�l.fL. j�a�31 94 nd m intenance he improvement or olher right-ol•way use hereto <br /> pplie for and i th e to remove same upon notice trom the <br /> Approved for Const«iction � �a�e Cily ai t pl e p bli pro rty damaged thereby. <br /> �% � <br /> fj•t`7G' �� �l+--.. �j <br /> FI A'L�IN PEC ION Date � ' � I <br /> Approved as Constructed �gnat r A n �ate <br /> �I�� PUBLICWORKSDEPARTMENT WORK AUTHORRED BY THIS PERMIT MUST BE STARTED WITHIN <br /> y 3200CedarStreet 1�0 DAYS OF DATE PERMI7 IS ISSUEU AND THEREAFTER IS 70 <br /> A Everett,WA 98201 BE DILIGEMTLY PURSUED TU COMPLETION. THIS PERMIT MAY BE <br /> � CANCELLED BY THE CIl'P UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259-8810 PROJECT OVER 00 DAYS DURATION. <br />