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Date 11�30�93 PuOGe Worke Permlt i .__�_.,�.J�✓ / <br /> AppliCation For emp.oeot.e � <br /> PUBLIC WORKS PERMIT P��To�FeFee s <br /> LeasAOG�-FaeP�iE S <br /> B�lance Oue S '�� <br /> Print or Type Only <br /> \ <br /> Citv of Eve a*r 3002 Wetmore Ave Everett WA 98201 <br /> Owner Mailing Address City Zip Pyooe <br /> Parks Dept. 80: Mukilteo Hlvd Everett wA 98203 259-0300 <br /> Applicant Mailing A.fdress City Zip Phone <br /> Describe Proposed work Construction of a viewpoint park of +/- 1/3 acre__ _ __ __ <br /> W <br /> Project Address�il known) �21 E Marine VieW Dr �/p 4 L(�GJ C/�t � <br /> Attach lour(4)copies of plens for proposed work• Draw to scaie and note the following as applicable: � <br /> • Property lines • Centerline ol street � <br /> • Outline and dimensions of all existing and • Indicale North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Ezisting and proposed utilities • Show me2surements /� <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 1.All calls for inapection shall be made 24 hrs.in advance•phone 259•8810. � <br /> 2.All work shall be peAormed in accordance with this permit and current City ot Everetl Design and Construction <br /> Standerds end Specificationa <br /> 3.Call Locetion Underground Service 48 hrs.before yau dig.TOLL FREE NUMBER 1-800•424•5555. � <br /> � y/S4d�rd /-c.r�%n�+' .Sjr74[�' '��/SJ� Mi 2�` b1.'il L .S/-z0�J�/O7 O <br /> �"egv��e�3nf.r �or l�a.o 4tc�t.ti6[e �!o fi`c✓io4J <br /> ✓ �O/5� [� L� OOir_ �1:.'i- �c7C2nS lL�L�Co.�vq/ b� 7�/jC �u���7�' � <br /> �.�ti �,vBl,�r ���f Di� /Z���3 � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold end save harm- <br /> less the City .� Everett irom any antl all claims for damages, costs, <br /> , � • expenses, or c: :ses of action that may arise because of installation <br /> �---J � /a / and maintenance of the improvement or other right-ol-way use herelo <br /> — applied tor and further agrees to remove same upon notice irom the <br /> Ap�ed for Qodstructio � Date Ciry and to replace public properry damaged lherr.by. <br /> FINAL INSPECTION Oate <br /> Approved as Construcled Signature ol Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST DE STARTED WITHI.'J <br /> ��r� PUBLIC WORKS DEPARTMENT 180 OAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS 'O <br /> 3200CederStreet 8E DILIGENTLY PURSUED TO COMPLETION. THIS PEFMIT MAY BE <br /> Everett,NA 98201 CANCELLED 9Y THE CITY UPON ANY STOPPAGE OF WOAK ON;�HI� <br /> Phone:259•8870 pROJECT OVER 90 DAYS DURATION. <br />