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C+] C�7 � <br />H <br />�H[~i� <br />K�n <br />H� <br />� f/� H <br />[�7 O � <br />�'. C7 <br />ON <br />H�g <br />S] Y (] <br />�H� <br />Hy <br />g�' <br />H <br />C! qJ [� <br />� � I•1 <br />xyti <br />HO[n <br />8-6-91 �- �`'L9f'� <br />Date <br />, � Application For . , � <br />PU�LIC WORKS PERMIT <br />Print or Type Only � � <br />� ,�, ,,, , �� � �, <br />TO PO�rINr. =Iz,�yL <br />�., � -- <br />��� �. . . . , . <br />Harold Hal <br />Mel For <br />Applicant <br />3315 Wetmore <br />�,Meilin�]'Adtl�ess <br />� - 3t �. � i,i r <br />' .� C] - �n :. r � 3 l.� <br />`i��iY�i.i .�c�C,i i_ <br />� � ' - 9591 S.oWeY-R <br />Mailin9 Adtlress <br />Everett 98201 <br />City <br />Rd Everett 98203 <br />Describe Proposetl Work New SFR 1800 SF + 572 SF Gatage <br />Prolect Address (il known) <br />Giry up <br />\ � <br />Puois Wo�ks rmmil • J ` � � __ . . <br />aiae 000� • 91/27483 _ _ <br />Pu01¢ Wo�ks Fco S <br />TO�aI FCe — <br />Lesa 40PI. Fec PaN S <br />Baiancc Duc S 7�� <br />358-1719 <br />rnanr, <br />353-4659 <br />Attach lour (4) copies ol plans lor proposed work - Draw to scale and note the lollowin9 as applicable: <br />• Property Lines • Centerline of street <br />• Outline and dimensions ol all e�istin9 and • Intlicate Norlh <br />proposed structures on the lot • Show any proposed grading chanyes <br />• Ezisting and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />� 1. All calls lor inspection shall be made 24 hrs. in advance - phone 259•8810. <br />�� 2. All work shall be pedormed in accordance with this permit and current Cily of Everett Design and Construclion <br />� ' <br />_ ��andards and Specilications. <br />� 3. �all Location Underground Service 48 hrs. bebre you dig. TOLL FREE NUMBER 1•800•424-5555. <br />TICuQti���.Kay�,> �— 12-91 <br />A�p rovetl lor Constru�i n Date <br />4 " <br />.� l" = �`��"'_�__, .z � c �� _- <br />FINAL INSP[CTION Date <br />ApProved as Constructed <br />�PUBLIC WORKS DEPARTMENT <br />� 3200 Cedar Street <br />Evcretl, WA 98201 <br />Phone 259�8810 <br />W <br />� <br />� <br />Y / <br />Z <br />O <br />� <br />� <br />d <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applican� hereUy ac�rees to hold and save haim- <br />less ihe Cily ot Everett �rom any and all elaims br damages. costs, <br />eapenses. or causes ot ac�ion �ha� ma/ arise because ol installatron <br />antl maintenance of lhe imV�ovement or olher ric�hbol-w�y use heicto <br />applied lor and luriher ayrees to remove same upon no�icc irom ihe <br />Cily,,apd to replace public proFer�y damaged therehy. <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAVS OF DATE PERh11T IS ISSUED AND THEREAFTER IS TO <br />BE DILIG[NTLY PURSUED TO COMPLETION. TNIS PERMIT MAY BE <br />CANCELLED BY THE GTY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DA�S DURATION. <br />