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/ ��(? �OSTING �ov 1 0 ,ss� _ <br /> `CM���� APPlicati ,pp�"`F, or � <br /> PIJBLIC WORKS PERMIT �a�e 1z-5-96 <br /> � PUBLIC WORKS�pARTMENT (q���[/JS <br /> 3200 Ced ireet Public Works Pertnit p q �r�� <br /> Everett,WA 9820g 259-8810 <br /> g Building Permit q 53681 <br /> TYPE OR PRINT ONLY d � g g � � n S g rn <br /> "a � o � o r? o .p �blic Works Fee$ ��J <br /> � � a .� `w � "� Nwa �u <br /> Tredway Corp PO Box 1014 Eeeret�' WA 98203 30�-81A0� <br /> Owner Mailiny„tltlress <br /> � \ ' ���` O � ZiP Phone <br /> Owner � � � 4� 94 � = � � � � <br /> Applicant � � � <br /> Mailing Address City Zip Phone <br /> Describe Proposed Work new house <br /> W <br /> � <br /> - - <br /> PHOJECT ADDRFSS(if known) 2328 Ravenna St Lot 2 SP If3-93 � <br /> Attach four(4)copies ol plans foi proposed work-Draw to scale and note ihe following if applicable: m <br /> •Property Lines 'Outline and dimensions of all existing and proposed structures on ihe lot •Faisting and proposed utilities O <br /> 'Cen!edine of street •Indicate North •Show any proposed grading changes •Sho.v measurements <br /> DO NOT WRITE BELOW THIS IINE � <br /> PERMIT CONDITIONS: � <br /> 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and O <br /> Construction Standards and Specifications. <br /> � 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUM.BER 1-800-424-5555. L <br /> � • �i'bv i� "I' o-�f S-�.e¢.-E- �ar �� S���S A <br /> vr <br /> 55 D;c�e�t- 1�»o�'-�qv rvv, �-F�'�a d.�:hh�_ �� s� , � <br /> a <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> /�J /� The undersigned owner/applicant hereby agrees tu hold and save harmlrss <br /> �C/ / the City of Everett Irom any and all claims for damages,cosis,expenses,or <br /> Approved or Co ction pa� causes of actien that may arise because ol installation and maintenance of <br /> � Ihe improvement or other ngh4of-way use hereto applied for and Lidher agmes <br /> � to remove same upon notice from the City and to replace public propeity <br /> FINAL INSPECTIO ' �"z S—f 7 damaged ihereby. <br /> Date <br /> Approved as Constructed <br /> Signat re of Applic Date <br /> WORK AUTHOR!ZED BY THIS PERMIT MUST BE STARTEG WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILI Y PURSUED TO <br /> COMPLETION.THIS PERMIT MAY 9E CAIJCELLED BY THE CIiV UPON ANY S70PPAGE�F 1l'nRK UN THIS PROJECT C'�VER 90 DAYS DURATION. <br />