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� <br /> ' TO PO ' Nov o s zoo, 7-27-99 <br /> p�;���e,.� Date <br /> � PUBLIC WORKS PERMIT public Works Permit M _ 9�/23Z <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everelt, WA 98201 j425)257-8810 Building Pertnil N C9907-019 <br /> TYPE OR PRINT ONLY Public Works Fee$ � � <br /> Leonard Nybo 18 E Marilyn Ave Everett 98208 425-347-3327 <br /> Owner Mailing Addre.s Ciy Zip Phonc <br /> Owner <br /> Appiicant Mailing Address City 2ip Phone <br /> Describe Proposed Work new house W <br /> \ � <br /> •\� Y/ <br /> PROJECTADDRESS (if known) 9912 2nd Ave SE �.00� Z SQ —q8 � <br /> Attach lour(4)copies plans lor proposed work-Draw to scale and notc the following if applicable: O <br /> •Property lines •Outline and dimensions ol all existing and proposetl structures on iho lot •Ezisting and proposed utilities <br /> •Centerline ol street •Indicale North •Show any proposed gratling changas •Show measurements <br /> DO NOT WRITE BELOW THIS LINE Z <br /> PERMIT CONDITIONS: � <br /> 1. All calls tor inspection shall be made 24 ho��s in advance - pho�e (425) 257-8810 <br /> 2. Atl work shall be periormed in accordance with this permil and current City of Everett Design and � <br /> Construction Standards and Specifications.. <br /> 3. Cail Location Underground Service 4B hrs. before you dig. TOLL FREE NUMBER 7-800-424-5555. ♦/� <br /> ♦/♦ <br /> �r�r,� ►�ao-�+Ap r� of-� �o e��w I) sP IaSGr b 1 ook.s - or Q <br /> 2� Ah ih-F(�i�ich tre+�tGh � G�� S�nda✓'ds. � <br /> 5, S;clo,l�w�„- ,�s �►'' s�d # 60/, 6oz , Go� <br /> P�"'NS�DUZS R�+N I�OGRour�P • <br /> CpNTk1�L7��'- NEvr_'l� C.'A-LlL' l� �'»Q �NsPccr��� . <br /> � ,3°�r� �/- !p-�� <br /> ACKNOWLEDGEMENT GF CONDITIONS <br /> ` ^ „�^ G, I �/�/�� The undersigned owner/applicant heroby e5rees to Irold and save haimless <br /> //. . !/ /'/ !�n O � the Ciry of Everen irom any anA all ciaims lor damages,costs,expenses,or <br /> ������-�C"' �X���� / causes ol action that ma aiise because ol installa6on and mainlenance o1 the <br /> pprove or ons ruc ion a e Y <br /> improvement or other nght-of�way use hereto epplied for and further agrees to <br /> r ve same upon noNce Irom the City and to repiace public properry dam- <br /> a ^d ereby. <br /> FINAL INSPECTION Date �� 4 � <br /> Approved as Constmcted <br /> Signaur—Te7fAppfi n ae <br /> WIXiK AUT}iDR�D BY hilS PERMR MUST BE STAR[ED Wfh11N 1B0 DAYS OF DATE PERMR IS ISSUED/WD TFEREPFIER IS TO BE qLl('fMLY PURSUED TO <br /> CDMPLETKNJ.THIS PERMR M4Y BE CANCELLED BY TFE CRV UPON ANY S7UPPAGE OF V�R7HK ON THIS PRQECT OVER 90 DAYS DURATION. <br />