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,, <br /> Date 9-12-95 (,� ;� - c;� � ,- C.�5,4 7 / / <br /> J V P��:�ryr AVp�AS Pnrnel• <br /> Apnlir.ation For � � ������� � �� � � �'�;�� n��n� . 49463 _ <br /> PUBLIC WORKS PERMIT ��������,���-�sF,.� — <br /> „�.���� s <br /> less aoni F�e aa�e 5 <br /> Print or Type Only e.,,.,�<,.r.,,.• s�— <br /> Alfred Jubie Const 1821 19th Dr Mukilteo 98275 290-1456 <br /> Ownei A'a��in�; .l�tu,(,�s iJil�. LP Phonr. <br /> Ocmer <br /> APPlicant t'.,�in-�::Addicss Cliv ZiP - --- Phone '-�-- <br /> Describe Proposed bVork new house ___ _ <br /> ______—. . .. . <br /> ' ____ <br /> -- --- -�,/�- I --- ---- ,,,��,:,- .,__ .. W <br /> Prolect Addiess Id kno�vm _�3��-- -----1�-LQ_(JIC'.___.srl"�('--�--- -.. __. '_ ..- -. � � <br /> —�t,_� <br /> A�taCh low ('1) COP�Cs of plans tni proPoseJ tiro>: � D�av: t;� :�c,ii��.��::i nr�l�� the'olluwing as anUhCahle: ' i��.,. � <br /> • Pronerty Lines • C�ant"�line nf sireet -' �` � �- � <br /> • OuUine and dimensions o(all exis?mc�anrf • IcCir.ab: North . � �� <br /> proPosetl sirudures on tlie In[ • �h.�c:any proposed gno:�n_i ,�I,an.u�� - ' <br /> • E�istinn and propOsed u�iliUes • Shn;: mrasuren,ents � � � <br /> DO NOT WFITE 6[LOW THIS LWE � � ' <br /> PERMITCONDITIONS . � ,� � <br /> 1.All calls for inspection shall be made 24 hrs.in advance•phone 259-8810. �� - - � <br /> 2.All work shall be pertormed in accordance with this permit and current City of Everett Design and Consiruction <br /> Standards and SUecilications. <br /> 3.Call Location Underc�round Service 48 hrs.before you dic�.TOLL FREE NUMBER 1-800-424-5555. � <br /> �. C`o�nu,� roaF�p c+cw�,sPNts -l� -�►�. s�de se.�,� O <br /> � <br /> � <br /> 0 <br /> a <br /> � � ACK�OI\'LECCiEf.IF.Ni OF CONDITIONS <br /> i hr un�lei.inned o�vn�UaPPhcant hriebY al�eeg�o hold and sac�huinr <br /> irss the Crty o� Everett from any antl ali claims 'or damages. costs <br /> /� �, ��penses. o� causes ol ar.tion that may anse bet.�use of insta!�atien <br /> p , D ��Cj/n„ ��C ( anA mamtPnance o! Ihe mtprovemeni or piher righ��of�way use hereto I <br /> L�� ���r-�' ���J--. ! a;plu�d lor and lurth��r agrees to remove same upon notice hom the <br /> APProve�l tor GOnslructio0, C:d�� '. �:!,,.,��;�7 tn ie�plac�� Pubhc proper� , Jan a�eA thereby. <br /> v I � <br /> �����Yr-�-�--��-�� ,- ; ' q _ ,�.. <br /> FINAL INSPECTION Date � <br /> Appro��c,1 as Constructed i Si9natur o1 AnPhcan! Date <br /> �A���� PUBIIC WORKS DEPARTMENT I lh'ORK AJ i HORIZED BY TN S PERMIT MUST BE STARTED WITHIN <br /> 3200CedarStreet 190 DAl'S OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Evere;l,WA98201 � aE DILIG[NTL1' PURSUED TO COMPLC-TION. THIS PERMIT MAY BE <br /> Phone:259�8810 � C4NCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> ' PROJECT OVER 90 DAYS DURATION. <br />