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pnvi��a��onFor 11/26/96 ' � ' <br /> � PUBLIC WORKS PERMIT °e,e <br /> PUBLIC WORKS DEPARTMENT Pu61ic Works Permit# �"' — I `�- <br /> 3200 Cedar Street <br /> Everetl,WA 98201 259-8810 Building Permit N S'i674 <br /> '`' n.41J5TING "�`' 0 4 tssr <br /> TYPE OR PRINT ONLY ' Public Works Fee 5 � <br /> WAYNE THOMPSON 2707 LINCOLN WAY LYNNlJ00D 98037 787-0294 <br /> Owner Melling Address City Zip Phone <br /> TED (7 LAKES CONST) 652-7202 <br /> Appllcant Malling Address City Zip Phone <br /> Describe Proposed Work P1.ACE MANUFACTURED HOME I � 1 <br /> iii <br /> � <br /> 10103 Z v♦ <br /> PROJECT ADDRESS(if known) 1�# MERIDIAN �u r - M <br /> Atlach four(4)copies of plans 1or proposed work-Draw to scele and note the Iollowing If applicable: O <br /> •Property Lines 'Outline and dimensions ol all existing and proposed structures on the lot •Existing and proposed utilitios <br /> •Centerline of street •Indicate North •Show eny proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs, before you dig. TOLL FREE NUMBER 1-800-424-5555. H <br /> V♦ <br /> � In�l�ll .m intilfrnhon Irench built ns per�he cih•'s ..Resideuti�l Roo1'Dotvnspout St�steni' destt:til :uu O <br /> �ized n� per die city's 7'nble I.II-3.2 "12oo1�Do�v��spout System Si-r.iue' stopled to this pennit 'ihe � <br /> iidiltrfdiou Irruch sh<ill Ua no closer iliwi 5 fezl to �mp up slope propeiiy line or fow�d�lion uor close <br /> th:ui 10 feet to :my do��rtislope property line or fouudation. C.dl Public lVork, for mi inspection prio <br /> tn ro��erin¢irenches. <br /> � 1'rovide iour otl�straet lotl�e}isementl pirkiue .i:�lls. <br /> 12i^4/95 __ !7'rM ti�f:�9 . �_ . .. . . <br /> / <br /> NOOD536�4 <br /> t^J_DS ��S.JC <br /> ?L�,G a�.�� <br /> a�CF!FG 44.5� <br /> DF.IUW;' ��O.GO <br /> kDQ0304^_� <br /> " 3 p ACKNOWLED��i1�NT OF�OADtf10NS <br /> /� / �� The undersi9ned owner/applic�t�y a�jiae9ho�h3ld and save harmless <br /> { the City ot Everett irom any anQ}gEP��¢ims tp.[.peRi�,costs,expenses,or <br /> causes of action that may arise because of installatlon and maintenance of <br /> App vecf,lQrConstruction �at theimprovamentorotherright•of-wayuseheretoappliedforandfurtheragrees <br /> C� 9 � / 7 to remove sama upon notice Irom the City and to replace public property <br /> liJ;/�f �•G �G y�� dama9ed thereby. <br /> j�, <br /> fINAL INSPECTION Date //�,� � <br /> Approved as Constructed Ql/ A`/ �/l��� �� �i/ _Si� <br /> �'l V Av 7 <br /> Signature o pp icant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />