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7/2/84 <br />Date <br />qppiication For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Eurith R. Whitted <br />Same <br />pescribe Proposed Work <br />427 Morgan Road <br />Construct trailer storage <br />_ 4�� <br />Prolect Address (if known) <br />Pu��ic Wo�b Pe�mit � ���--- <br />eiao oeo�. •84/13573 <br />Puolic Work� Fee s -_� <br />Tot�l Fee <br />Las� aon�� Fee P�id S�� <br />9ol�nce �ue <br />Everett 98203 353-4530 <br />a�y <br />Attech tour (4) copies ot plans for proposed work - Draw lo scale and note the following as apP�icab�e�. <br />• Property Lines <br />• Outline and dimensions ol all existing and <br />propOsed 5tructures on Ihe lot <br />• Exisling and proposed ulillties <br />• Centerline ot street <br />• Indicate North <br />• Show any proposed grading changes <br />• Show measurements <br />Phone <br />PERMIT CONDITIONS hone 259-8815. <br />!. All calls tor inspaction shall be made 24 hrs. in advance - p <br />p, pll work shall be Performed in accordance with this permit and currenl City of Everetl Design and Construction <br />Standards and Specifications. <br />3, Call Location Underground Service 48 hrs. belore you dig. 70L1 FREE NUMBER 1'800•424•555 . <br />�L <br />i <br />�� � �-l�Ct2� � � <br />�1 ' � � �� ���(c� <br />�P� � � <br />,� l� / <br />,�/� 3 �� <br />�- <br />Date <br />Approved tor Construction <br />Date <br />FINAL INSPECTION <br />Approved as Constructed <br />everett PUBLIC WORKS DEPARTMENT <br />� 3200 Geder Street <br />Everelt. WA 98201 <br />Phonc:259�8815 <br />W <br />H <br />- <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/apPlicant hereby agrees lo hcld and save harm- <br />less Ihe Ciry of Everett Irom any and all cluims lor damages, cosls, <br />andemaenlenancesofsthe mpr�ovemaent or other nghDol way usr,ah'ereto <br />Cityl'and to rep ace1publ 9propar�lyrdamaged h�rebyn nolice Irom the <br />Signature ot APPlicant <br />WgpRDAYSTOF DATE PERMT ISESSUED AND HEREAFT�ER ISHTO <br />BE DILIGENTLY PURSUED TO COMPIETION. THIS PERMIT MAY BE <br />PROJECT OVER 50 DAYS DURATION. STOPPAG[ GF WORK ON THIS <br />