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Date 4-12-93 <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Christopher Pattillo 7408 <br />Owner Mailin <br />Owner <br />Applicant <br />Mailinc� <br />Describe Proposed Work 3ddII & garage <br />Project Address (it known) <br />Pu�Lc WorMa Permn . <br />e�aa oeo�. • 40212 <br />Pu�l¢ Works Fee <br />To�al Fae S <br />Lp55 Appl F!P PTitl S <br />Balence Dua $ <br />11 Ave Everett WA 98203 355-1475 <br />Gny <br />� <br />Z�P Phone <br />Atlach lour (4) copies ol plans for proposed work - Draa• to scale and note the following as applicable: <br />• Prcperty Lines <br />• Outline and dim=nsions ol all exlsting and <br />proGosed struc;ures on the lot <br />• Existirq and p�oposed utilities <br />• Centerline ol streel <br />• Indicate Norih <br />• Show any proposed grading changes <br />• Show measuremen�s <br />PERMIT CONDITIONS <br />1. All calis for inspection shall be made 24 hrs. in advance - phone 259•$810. <br />2. All work shall be peAormed in accordance with this Aermit and current City of Everett Design a�d Construction <br />Standa�ds and Specifications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-$00•424-5555. <br />PUBLIC WORKS PERM17 <br />NOT qEOUIqEO <br />BY� <br />DATE - //'�_--- <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Consiructed <br />�PUBIIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett WA g820t <br />Phone:259�8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned ewner/applicanl hereby agrees �o hold and save harm- <br />lees the Cdy of Everet� trom any and all claims lor damage�, costs, <br />expenses, or causes of aclion ihat may arise because ol inslallation <br />and maintenance of the improvement or other righhobway v5e hereto <br />applied for and furiher agrees to remove same upc^ notice Irom ihe <br />City and to replace public property damaged ihereby. <br />Signa�ure of Applicont Dale <br />WC1RK AUTHORIZED BY THIS PEFMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENT�Y PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLE� BY TIiE CITY UPON ANY STOPPAGE OF WOFK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />