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Date <br /> 8-19-93 � _ I —��_� PubLc Worb Permit� �_j <br /> � / <br /> B�Jp.DeO��� 41758 <br /> Application For <br /> PUBLIC WORKS PERMIT '°""""°'"„`° <br /> Tolel Fee s <br /> Lesa PppL Fee Pa�A S <br /> BabncaDue f � -� <br /> Print or Type Only <br /> � <br /> 1 <br /> Colony Craft 14410 Sel Red Rd Bellevue WA 98007 644-2323 <br /> Owner Mailing Address City Zip Phone <br /> Ovner <br /> Applicant Mailing Address City Zip Phone d <br /> 2 <br /> DeScribe Proposed Work TOCkei � <br /> �.� -- W <br /> Proiect Address�it knov ; 5717 lat � SE Lot 44 Hanabrook 2 � <br /> Attach lour(4)copies of plans for proposed work- Draw to scale and note the following as applicable: � <br /> • PropeAy Lines • Centerline of street � <br /> • Outline and dimensions o'all ezisting and • Indicate Norih <br /> proposed structures on the lot • Show any proposed grading chenges <br /> • Eaisting and proposed utilities • Show mexsurements M <br /> W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> 1.All cells tor insp?ctlon shall be mede 24 hrs.in advence-phone 259-8610. <br /> 2.All work shall be performed in accordance with this permit and current City of Everett DesiBn and Conatruction <br /> Stenderds end Specificatfons. � <br /> 3.Cell Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800�424•5555. <br /> � � A� �� ��o �,�-t���� ��t�� �-z�- �3 <br /> 0 <br /> H <br /> s � � N <br /> 5(n 21- I sF A�e S� Q <br /> -�vr c�eo�e�h. a, <br /> P���r��' <br /> qI;KNUWLEDGEMENT OF CONDITIONS <br /> ,j The undersigned owner/applicant hereby agrees to hold and save harm- <br /> less the City oi Everett irom any and all cleims for damages, costs. <br /> expenses. or causes ol action that may arise because of installation <br /> �� �,'/�i� � //' � 3 ��3 and maintenance ot the improvement or olhrr right-oFway use hereto <br /> C�i i'� I��'`� applied for and further agrees to remove same upon notice Irom the <br /> qpproved for Co Iruction Date Ciry and to replace public properry damaged ihereby. <br /> G�i�f /a"�f' S3 / . � / '�S'/� <br /> FINAL INSPECTION �a�e Date <br /> ppproved as Constructed Signature of Applicant <br /> � PUBI IC WORKS UEPARTMENT <br /> BORDAYSTOFO DATE PERMIT ISESSUED AND THEREAFTER ISHTO <br /> 3200CederStreet BE DILIGENTLY PURSUED 70 COMPLETION.THIS PERMIT MAV BE <br /> Everett WA 98201 CANCELLED BY THE GTV UPON ANV STOPPAGE OF WORK ON THIS <br /> Phone:259-8810 FHOJECT OVER 90 DAYS DURATION. <br />