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C <br />� <br />� <br />TYPE OR PRINT ONLY <br />naW� s�� Fa <br />PUBLIC WORKS PERMIT <br />J W Gaswint 1702 W <br />Owner <br />Owner <br />Appllcant <br />Describe Proposed Work <br />PUBLIC WORKS DEPAFiTMENT <br />3200 Cedar Street <br />Everett, WA 98207 259-8810 <br />TO POSTING "rn ' <br />r,o aoo<�oc—:-- <br />�ti lAh7p Ob� V O�Y' <br />O I� . . . �- <br />ilteo��}rt� �veeP[t�! <br />new house <br />PROJECT ADDRESS (if known) <br />ai <br />Ave <br />8 2�1 <br />�o� <br />O d C <br />4� <br />� �f' <br />Ctty <br />m <br />m oa�e 5-8-98 <br />�� <br />WPubl� Nkxks PermR N ` Z <br />; eu�atrg vermn • 58756 <br />� �a� w«� F� s ?.U— <br />o ,o <br />. ,i <br />.- <br />i� r_. � <br />(t <L � � _ <br />a•� !,i ;- <br />= 3i^ U]'=! i. <br />AttacA `,our (4) coples of plans for pmposed work - Draw to scale and nota the following M epplicable: <br />'Property Lines 'OuUine and dimenabns oi all existlng and proposed structuras on the bt 'Exlsting and proposed utilities <br />'Centerline oi street •Indicate North 5how eny proposed grading changes 5how measurertients <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and curtent City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-6'555. <br />� <br />ACKNOWLEDGEMENT OF CONDIT70NS <br />The undersigned owner/epplicent hereby agrees to hold and seve Mrmbss <br />the Ctty of Everetl han any and all claims tor demages, costs, expsn�es, w <br />causes of ectbn thet may Mx because of Instellatbn and makiUnance ol <br />the improvement a other rigM-ot-wey use herato applied forand hNier egrees <br />to rertave same upon notice trom the City end to roplace pubXc property <br />dameged tlbreby. <br />I Approved as Constructed I �rJ�� � <br />�!,E S^ %—�P <br />nature of Applkant Dete <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STAFiTED WITHIN 1 BO DAYS OF DATE PERMfT IS ISSUED AND THEREAFfER IS TO BE DILIGENiLY PURSUED TO <br />COMPLEIION. THIS PERMIT MAY BE CANCELLED 8Y THE CfTY UPON ANY STOPPAGE OF WORK ON 7HIS Pf10,lECT OVER 90 DAYS WRA710N. <br />