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��x <br />C, H <br />YHN <br />r <br />y X <br />Fe t~i <br />H �f <br />� H � <br />Hy <br />�o <br />OHd <br />��8 <br />� Y (� <br />t"y� <br />gyy <br />:]�t�N <br />�H� <br />HO�n <br />Date 5/21/91 <br />Applitation FOr <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Publ¢ WO�Ff Parmil • <br />BIEp. Deol. • 91/27035 <br />Pueuc woiks Fee <br />Totel Fee S <br />Less AOOI Fee Peid $ <br />Balenca Duo $ <br />Peter A. Wolff 4926 NichoLs P1. E4erett 98203 348-0855 <br />Owner Maif�gAddress City Zip Phone <br />Owner <br />Applicant Mailing Address City Zip Phone <br />�escrihe Proposed Work New deck at SFR <br />Proiec� Address (il known) <br />4926 Nichols Pl. <br />Attach four �a) copies ol plans for pmposed work - Oraw to scale and note Ihe lollowing as applicable: <br />• Property Lines • Centerline ot street <br />• Outline and dimensions ol all exisling and • Indicate North <br />proposed siructures on ihe. lot • Show any proposed gratling changes <br />• Existing and proposed utilities • Show measuremen�s <br />PERMIT CONDITIONS <br />1. All calls lor inspection shall Ge made 24 hrs. in advance • phone 259•8810. <br />2. All work shall be pedormed in accordence with this permit and current Ciry ot Everett Design antl Consiruction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1•S00•424-5555. <br />�v.�3CGG Lfi�� � 2o�u.r �f ��LGu.�Q' <br />jl <br />�=���- <br />t�_��3 <br />Approved lor Construction Date <br />FIN�L INSPECTION Oale <br />Approvetl as Constructed <br />���G/ PUBUC WORKSDEPARTMENT <br />� 3200CedarStreet <br />Evcret6 WA 98201 <br />Phone: 259�8870 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />w <br />V♦ <br />z <br />0 <br />� <br />� <br />O <br />a <br />The undcrsigned owner/applicant hereby agrees to hold and save harm� <br />less the City ot Everetl Irom any and all claims lor tlamages, cosis. <br />expenses. or causes ol action that may arise because ol installation <br />and maintenancc ot ihe improvemenl or other right�ol�way use hereto <br />applied lor and lurther agrees lo remove same upon notice Irom lhe <br />Cily and to replace public pwperry dama9ed ihereby. <br />Si9nature of Applicant Dale <br />WORK AUTHORIZED BY iHIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMITIS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION, <br />