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� � DnCT��� NOy 0 0 21b1 6-16-99 � <br /> 'f� �o�,a,b Date <br /> � PUBLIC WORKS PERMIT ' <br /> Public Works Permit M <br /> PUBLIC WORKS DEPARTMENT '�' <br /> 3200 Cedar Street <br /> Everett,WA 98201 (<25)257•8810 Buildinp Permit M 62768 <br /> TYPE OR PRINT ONLY � ' , Public Works Fee S � <br /> ', ;: . <br /> Tom/Judy Castur 7706 Rainier Dr Everett 98203 425-513-0154-H 2O6-515-3727-W <br /> Owner Mailing Address Ciry Zip � Phone <br /> Owner . <br /> Applicaot Mailing Address �� � Ciry Zip Phone <br /> Describe Proposed Work _ new houae W <br /> � <br /> Y/ <br /> PROJECTADDRESS (il known) 7704 Rainier Dr Lot 2 SP 1158-98 � <br /> Attach four(4)con�c:,plans lor proposed work-Draw to scale end rote Me following H applicable: O <br /> •Propr.y Lines •Outline eM dimensions ot all existing and pro�wsed structures on the lot •Existing and proposed utiliNos � <br /> •C,nteAine ol strent •Indicate North •Show any proposed gracing changes •Show measurements <br /> DO NOT WAITF BELOW THIS LINE Z <br /> Pi 9MIT CONDITIONS: O <br /> 1. All cails for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be per(ormed in accordance with this permit and current City of Everett Design and � <br /> Construction Standards and Specifications. , <br /> 3. Call Location Underground Service 48 hrs, before you dig. TOLL FREE NUMBER 1-800-424-5555. ♦A <br /> \O <br /> 4� I � Ah� ( i1�1 C�� 5�5 � f{vrwt �r��n sf� �, a <br /> � <br /> a��� , <br /> �' ACKNOWLEDGEMENT OF CONDITIONS <br /> �/ TI e undersigned owner/applicent hereby agrees to twM end save hartnleaa <br /> 2(i 9 tho Ciry of Everett from any erM a�l claims for demagea,costs,ezpenses,or <br /> pr oi ons ruc ion e ca ises ol actlon that may arise because ot Installatlon end maintenance of lhe <br /> im��rovement or othar righFol•wey use hereto epplied lor end IuMor apreea b <br /> e D��� � _/, � ren�ove same upon noHce from the Gty and to replece public propery dam- <br /> ,• l. L aged thereby. <br /> FINAL INSPECTION Date 7/Q�p <br /> Approved es Constructed � � -_ -� � <br /> �a uT�TI p�pLcah e� <br /> � <br /> AUh10Fi�D BY hIIS PERMR MUST BE STAHTED WIiNIN 180 DAYS OF Do1TE'EPo�AfT IS ISSUED MD T}EFEAFIEA IS TO BE Ol10EMLY PUR9JED TO <br /> .lHIS PERMIT MAY BE CANCEl1ED BYl}E CfTY UPON NJY STOPPACaE OF W�DFiK ON T}AS PRQECT OVER 90 DAYS DUFiAiIOPI <br />