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/ I <br /> 6/26/90 i�„e�,�wo..ir��m�n `�c°�f=�Z.C, � <br /> Date i <br /> eioe oem • gp(2497n <br /> " Applicahon Por . <br /> PUBLIC WORKS PERMIT PuryTotalf�er'^C 5- <br /> �, �.•�,�,o�����a,a s <br /> n <br /> � <br /> r.� � o ;- n o o _ _ r e+w�..,o�e 5 �7 P� <br /> LL c � o ; c� o � ;:�. '� . <br /> N Prinl or Type Only ,�, � . i� -� -�- o - n u ro c�. <br /> ���� ,_r i� ' „� ' �,I :, "' a' �� , <br /> , _� .,. _'. c, � - �, <br /> n " c� u� <br /> [^ry H RE-DEL-CO Con�tructio�; 5130 NBrb@L�,ek AVe Everett 98203 <br /> �9 H CA Owner ,� ;='�M�il�nc�-Addraf� w o �i � �. ��'tY Z�P Phonc <br /> O[� Gl L] � �:J -• O 1— t': 3 O l`- I�J <br /> � r_i _I J 1�1 :_, uC p ¢ ri W � .• 1 <br /> yH a> _:,.i� u. r. �:_ c'� e� .:: � o� :. � ... c� <br /> Owner n <br /> � y� ApPlicant MailingAJdress City 2iP Phone <br /> '�U H'�9 • <br /> Co M <br /> y r Describe Proposed Work h cFR . -- <br /> � y d -- --- , . <br /> 0 H 1 <br /> ��,g __ W ! <br /> z �"� .�,j Lot 51 Ridqewood Terrace Co'�1y" - z-N� �2' SC ~ I <br /> Proiect Address lil known� <br /> C" y,y �� <br /> y Atta[h lour(4�copies ot Plans lor p�oPosed work� Draw to srale and�ule the following as apP6cable: � <br /> �"� • Property Lines • Centetlme o�street <br /> n b y • Outhne and tlimensions ot nll eaisling and • Intl�wte Norih ' <br /> C ❑ • Show any propoSeA gradmg chanyes � <br /> � [�J� proposetl Siructures on the lol � 51',ow measwemenls M � <br /> Z y tn • Eal°'ing antl proposed utihties W <br /> H O fn I <br /> �� DO NOT WRITE DELOW THIS LINE O <br /> � <br /> PERMIT CONDITIONS � <br /> 1.AI'calls for inspection shail be made 24 hrs.in a�'��ance-phone 259•8810. <br /> 2.All work shall be pedormed in accordance+vilh tl�.a permil and currenl Giry o�Eveiett Design and Constructior <br /> Standards and Specificetions. � <br /> 3.Call Lowlion Underground Service 48 hrs.6elore you dig.TOLL FREE NUMBER 1•800•424•5555. <br /> � � <br /> � 4.ANY CHANGE IN THfi DRIVF.WAY CUT MUST Bfi APP�tOVED <br /> '..,. � BY TNE PUBI,IC WORKS INSPECTOR. � <br /> _. 1 5.�ONNECT 1�WNSPOUTS TO YOBLIC DRAINAGE SYS'fEM. i <br /> 6.KF.EP CITY S7'REETS CLEAtI AT ALL TIMRS. //\ <br /> 7.ANY DAMAGE '1'0 THE CUi�II AND SIDEWAI�K WILL BE REPAIkE.n V� <br /> TO THE SATiSFACTION 0�' Tci%s PUBLIC WORKS DEPT. O <br /> .... ,� A <br /> lai <br /> 1 ��j <br /> ACKNOWLEDGEMENT OF CON�ITIONS <br /> . . �� "y� Tha urdcrsign�.> >wner/appliwnl hereby agrves lo hold and save harm� I ' <br /> less the City .r Everetl Imm any and ill claims for dama9es. cosls <br /> �--� expenses. or _;�[es ol action Ihat may a�ise because ol installaUon � <br /> ' � L -7_ � _� anA malntenance of Ihe unP�avement or olher rigM-a1�waY ��se herelo i <br /> � 1 � �pplietl for anc lurlher a9rees to remove same upon notice ��cm Ihe <br /> � Approved for�o slr�cUo/� Date ���y and to��Glace public property dama9ed ihereby. � <br /> �� i � <br /> .. .. ,�;-1�� ,� �' -�rr f� ���� ��� , � <br /> FIN,1L INSPECTION ���� ��� <br /> Appwved as Constructed iyn, urc o�Appl�c:nt <br /> WO h NU7HOF:2 BY 7HI5 PEFMIT M11UST BE 5 AR7eD WI1�FiIN <br /> cvciett PUBLIGWORKSDEPARTMENT 180 �AYS OF DATE PERMIT IS ISSUED AN� THEREAPiER IS TO <br /> � 3200CedarSlreei 8E DILIGENiL� PURSUGD 70 COMPI.ETION. THIS PERh11T M11AV BE <br /> Everett.WA 90201 CANCGLLEU B1'THE CIiY UFCY ANY STOPPAG[OF WORN ON THIS <br /> Phonc 259�9810 PROJECT OVH�i 90 DAYS DUR�ITION. <br /> r_ ''r� <br />