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; ��-/-�r . . PuClic Worka Permii• �� , <br /> / �� BItlp.DeO�.• 45329�� <br /> Application For ,�� <br /> PUBLIC WORKS PERN�T PJeTolalFeeFea S <br /> o �ess noa�Fae Pa��a S <br /> �int or Type Only ��9 pQ���N� Mpy � 4 , �' g �,o-,, � � BalanceDue s /Z`<d F� <br /> ���9 a � r� o <br /> � � � 6CJ <br /> J T Associates 1312 S Weller St �+ �att1G'SYAA 98194 324-4448 <br /> Owner Mai�ing Address P\ �}Clil� N Zip Phone <br /> M O a�i [Wi' L�7 (� <br /> O O � � \ W <br /> 4 — �.L/,��Yll.tfi !l�OPi � o ~ � � x 353-2888 �z <br /> Charlie Mor an 1 o a rn ;� �. � <br /> Applicant Mailing Add ss City Zip Phone <br /> �escrihe Proposed Work New Live buildinq apartment comolex (Walnut Ridqe) G�Jl61'S1ER <br /> W <br /> Project Address(if known) 901 F. Mar;ne V;ew nr � <br /> Attach four(4) copies of plans for proposed work- Drew to scale and nole the following as applicable: � <br /> � Property Lines • Centerline of street � <br /> • Outline and dimensions of all existing and • Indicate North <br /> proposed struct�,es on the lot • Show any proposed grading changes <br /> • Ezisting and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CON�'TIONS <br /> 1.All calls to �spection shel�be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work sh .il be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424•5555. � <br /> ' • .S(�t' CrC�j�L Lc.'ar,f fo �a �n2 ��i^ 4���n✓C�✓ O <br /> p��,�s �Q�� 9-3a. �s�- <br /> _ � <br /> � <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONOITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm• <br /> less the City of Everett from any and all claims for damages, costs, <br /> expenses, or causes oF action that may arise because ol insta�lation <br /> �� /l q 3��� and maintenance of the improvement or other right-obway use hereto <br /> OIDly� / applied for and further agrees to remove same upon notir,e irom the <br /> Approved lor Con�ti n ate Ciry and to replace public property damaged thereby. <br /> �=.�s=y'� � <br /> FINAL INSPECTION Date ' C� - <br /> Approved as Constructed �SSgnature ol Applicant � Date <br /> ���� PUBLIC WORKS DEPARTMENT WORK AUTHORI2ED BY THIS PERMI7 MUST BE STARTED WITHIN <br /> 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett WA98201 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phone:259•8810 CANCELIED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATf7N. <br />