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\�/' 17-z�l -5 �.: <br /> D� ? 1-21-93 TO a„oi..:wo�w�,v�,m�i. � --- <br /> 7 <br /> qpplica�ion For ' POSTjN� eiaa oeo��• 39324 <br /> PUBLIC Vi/ORICS PERMIT -`��9� '°°��°W°��=`°° <br /> ToialFee g <br /> H N� ��ss nooi Feo ae�e 5 <br /> x � <br /> �7 0.,�.,���o�� 5 �i� <br /> A� x Print or Type Oniy <br /> � �� <br /> ti 3R <br /> C.W. Bright Const PO Box 1356 Snohomish WA 98291 485-1319 <br /> y F+ <br /> fC �1 Owner Maihn9 Addiess C�ty Z�P P'-onc <br /> H � <br /> � y H Owner <br /> H <br /> .Lp, Applicant Mailing Address Cily Zip Phone <br /> � HG <br /> p H new house � <br /> Desr,rihe Pwposetl Y✓ork <br /> ��1� g <br /> y�Y � <br /> zy � <br /> � H y 17xx Rockefeller W <br /> y �"� Prolec�Address(il knownl �72� 'L.rx-kc�f�l(er Avei1�L � <br /> gd � <br /> [� r A��aCh four(4�CopieS 01 plan5lor propo5ed work� Draw to SCale and no�e Ihe loltov+ing as anUlicable�. � <br /> ��� • Properry Lmes • Cen�erline ol sireet ♦A <br /> py • Outline and dimensions ol all ea�sting and • Indicate North V� <br /> � � ProPosed structures on the lot O Snow any proPosed grading changes <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE B[LO1N THIS LINE O <br /> � PERMIT CONDITIONS <br /> � �_ 1.All calls for inspeclion shall be made 24 hrs.in advance•phone 259•8810. � <br /> � 1 2.All work shall be pedormed in acmrdance with this permit and curreM Ciry of Everett Design and Conslruction <br /> � Standards and Specitications. <br /> � 3.Call Location Underground Service 4B hrs.belore you dig.TOLL FREE NUMBER 1•800•424-5555. � <br /> v <br /> � '_�' O <br /> � <br /> � <br /> I��� a <br /> � <br /> � <br /> �1�� ACKNOWLEOGEMENT OF CONDITIONS <br /> . i�)��� The undersigned owneUapF�icant hereUy a�rees to hold and save harm- <br /> less the C�ty ol Everetl Irom any and all claims tor damages. costs. <br /> �7 ���,,,,,,��A]] eapenses. or ��uses of aclion Ihat may arise because ol installalion <br /> — �// ►'y/��/e�/ ) ��C�9 2nd mainienance ol the improvement or o�hm righ4o4way use herelo <br /> «��� � �� �� �–� apn��ed tor antl lurther ac�rees to remove same upon notice Irom thc <br /> AppioveA for Construction Date C�l�,ind Io replace pu61iC proper�y damaged iherCUy. <br /> � ` � <br /> ���.��-.� y�;��1 ��� _ �_ �j <br /> FINAL INSPECTION Date <br /> �PProved as Constructed Signatwe ol Applicant Date <br /> � PUBLICWORKS�EPARTMENT WORK AUTHORI2ED BV THIS PERMIT MUST BE START[D WITHIN <br /> ,r�� 3200CeyarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Evcrett,WA 982J7 BE DIUGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BF <br /> Phone�.259�8810 CANCELLED BY THE CITV UPON ANV STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />