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T u(� 4 �j <br /> 2-25-94 �O 1 O�I I�V ��' �� ' Pubfic Worka Pe�mil• � <br /> Date 43623 <br /> � aiae.oeo�.• <br /> Application For � <br /> PUBLIC WORKS pERMIT � PubTotelFeeFea s <br /> p lefs AOV�Fee Ps�O S �fn <br /> On Due S w <br /> Print or Type Only g g g g � . . <br /> � v�i "��7 � � .�. �i + a <br /> .p aR M M M M Ql <br /> � M N <br /> William/Barbara Lindsey 8410 60th Dr NE Mar vi}�.e 98270 659-6046 <br /> Owner Mai4ing Address \ r^ � � Phone <br /> „�p � � `m' c=i � � ��S+ <br /> RC Enterprises 2315 189th P1 NE Arlington 98'�23�8���7����1G Peterson <br /> Applicant Mailing Address City Lp Phone <br /> Describe Proposed Work <br /> new house <br /> W <br /> Prolect Address�il known� 1307 E Marine View Dr �� � <br /> Attach four(4)copies of plans for proposed work•Drew to scale and note Ihe tollowing as applicable: � <br /> • Property Lines � Centerline of street � <br /> • Outline and dimensions of all existing and • Indicate North <br /> proposed structures cn the lot • Show any proposed grading changes <br /> • Existin9 and proposed utiiities • Show measurements M <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 7.All calls tor inspection shell be mede 24 hrs.in advance•phone 259�8810. <br /> 2.All work shell be pedormed in accardance with this permit and current City of Everett Design and Constructton <br /> Standards and Specillcatians. � <br /> 3.Call Location Undergraund Service 48 hrs.before you dig.TOLL FREE NUMBER 1-600-424-5555. <br /> O <br /> � <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDi'!ONS <br /> /�Cg The undersigned owner/applicanl hereby agrees to hold and�a�,harm- <br /> y� <br /> less lhe City of Everetl trom any and all claims for damages, costs, <br /> /� expenses, or causes of action that may arise because of installation <br /> .r/pt�n�G�j(/ 3 -3 —9¢ and maintenance of the improvement or other right•ol•way use hereto <br /> � X applied for and further agrees to remove same upon notice trom the <br /> Approved for , nstr ion Date City and replace public property da aged thereby. <br /> �!/-t' /%-�-- �j3 �y � _ <br /> FINAL INSPECTION Date Date <br /> Approved as Consiructed , ignature ot Applicant <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> ��� PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED ANO THEREAFTER IS TO <br /> 3200CedarStreel BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259•8810 PROJECT OVER 90 DAYS DURATION. <br />