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7/19/95 <br />Date <br />Application For �� <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Robert D Davis <br />Owner <br />Owner <br />Describe Proposed Work <br />Project Address UI knownl <br />�^ POSTING I I- �� - �LS ; � <br />706 Niles Ave Everett WA <br />�Aqadina Address <br />ri <br />rs:��i��,;� nc�d�css ----- <br />_ New detached�arage <br />706 Niles Ave <br />PuOi¢\Yo�FSPnrmil+ ��J ¢DO <br />Omq Dem. • _4$�� � <br />pu1�4c WO�kS FCC <br />Tolai Fce S <br />Less 400i. Fn� Pi,o $ <br />��.. �� i.. �alancc D�w S ���� <br />�Z 3Z2¢o//93/ <br />9�. O1 252-2338 <br />Citv ' ��� � 7_�n <br />i ' i..� <br />�i i <br />c�tv z�p <br />Attach lour 141 coP�es ol plans lo� n�oP��ed wo'n � Dra�c to oc,�,�..�nn note Ihe fotlo�vinq is apUhr.able. <br />• ProperlY LineS • Ci!n1�,iiinr_ nf Street <br />• Outline and dimensions ol all exishng and • li�tlical�: North <br />proposetl structures on Ihe lo� • Show any r.roposed gradmn r.hanyes <br />• Exis�ing and proposed u�ilities • Show mnasivemen�s <br />�or <br />Phonr. <br />Phone --- <br />PERMIT CONDITIONS <br />1. All calls (or inspection shall be made 24 hrs. in advance - phone 259-881 O. <br />2. All work shall be pedormed in accordance with this permit ai.d current City ot 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 />L2 <br />Approved as Conslructed <br />�A�I�PUBLIC WORKS DEPARTMENT <br />3200 Ceda� Sireet <br />Everett, WA 98201 <br />Phone:259�8810 <br />W <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />ACKNOWLEDG[MENT OF CONDITIONS <br />1 he undprsiqned o�vne�/aUPliCant hcreby agrees �o hold and Save harnr <br />less Ihe City o1 Everett from any and all claims tor damages cosis <br />e*pense,. o� causes of action that may anse because ot instailation <br />and mauitenanr,e n! tne imnrovement or o�her right-ol•way use he�e�o <br />a, pliei; lor and furiher aqrees to remove samc upon nofice hom the <br />C�!y ai;d -eplaCe puUlic property dameged Ihcreby. <br />�C� ��.Gl� �'.�3 `i� <br />Siqnaluie of Apphcant pate <br />WORK �l1THORIZED [3Y THIS PERMIT A9UST BE STARTED WITHIN <br />190 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANC[LLED 8Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PRO.IEG7 OV[R JO DAYS DURATION. <br />