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Iruoo.:vp..�sv.rmn. �'�.L..s.Q'7 — <br /> Date_ � 28 �90 90/24991 _ <br /> ama�oeo�.• <br /> Application Fo- <br /> pI�BLIC WOF�KS PERMIT PuoTozlFesFeo 5 <br /> LesslOO��F�ePm� 5 <br /> patanre�ue S 2�J <br /> Print or Type Only <br /> Everett 98203 349-5860 <br /> RE-D�L-W Const. 5130 Narbeck Ave. Z.p phone <br /> Owner <br /> Mailing Address C'�Y <br /> pwner Phone <br /> qpplicant <br /> Mailinc�Address ���Y Z�p <br /> Describe Propased Work <br /> Ne�v SPR <br /> W <br /> nt 48 – Rdaewood '1'PrracP C�332 - Z^+� a�z-SE � <br /> Prolec�Address(il known) �-- — <br /> � <br /> Attach lour(4)copies ot plans for proposed work- Draw to scale antl note Ihe tollowing as applicable: � <br /> • Proper�y Lines • Centerline ol slreet <br /> • Indicale North <br /> • Ou�line and dimensions ol all eaisting ancf � Show any proposed 9rading chane�es <br /> proposed strucWres on ihe lot • Show measurem�nls M <br /> • Existing and proposed utilities W <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITION3 � <br /> 1.All calls for inspection shell be made 24 hrs.in advance-phone 259-8810. <br /> 2,All work shall be periormed in acCordance with Ihis permil and current Cily of Everett Design and Consiruction <br /> Standards and Specilications. � <br /> 3.Call Localion UnCer9round Service dd hrs.belore you dig.TOIL FREE NUMBER 1•S00•4245555. <br /> 4.ANY CNANGE IN THF. DRIVEWAY CUT MUST BE APPROVED v <br /> BY THE PUBLIC WORKS INSPECTOR. l— <br /> 5.CONNfiCT IX»WNSPOUTS TO PUELIC DRAINAGE SYSTEM. r <br /> 6.KEfiP CTTY STREETS CLEAN AT ALL TIMES. ♦A <br /> 7.ANY DAMAGFS TO THE CURB AND SIDEWALK 4�ILL BE REFAiRED ��� <br /> TO THE SATISFACTION OF THE PUBT�7C WORKS DEPT. O <br /> a <br /> ��� ACKNOWLEDGEMENT OF CONDITIONS <br /> ���" � The undersigned owner/applicant hereby agiees to h-' �rd save harm� <br /> o� less ihe Ciry ol Everetl Irom any and all claims Ic nages. costs, <br /> expenses, or causes ot action ihat may ari=e bec . � installalion <br /> and maintenance ol ihe improvement or olher righ � y use hereto <br /> �2 C n ��/��, �p–::y -90 applied lor and further agrees to remove same ur • .ol'ce Irom the <br /> iD X h�z"'–' Date <br /> Appmved lor o iruc�io� Ciry and to replace public prope�tY damage ere.. <br /> / � <br /> �` ,��1�'�9i `" �� 9 /D �� <br /> FINAL iNSFECTION Dat� , Date <br /> i n. ure ol Applicant <br /> Appruved as Conslructed WORK AUTIiORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> evere[I PUBLICWORKS�EPARTMENT 180 DAYS OF D�TE PERMIT IS ISSUED AND THEREAFTER IS Tn <br /> � 3200CedarStreet BE DILIGENTLY P:IFSUED TO COMPLEiION.THIS PERMIT MPY B[ <br /> Everelt.WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> � � Phone:2G9�8810 PRO.IECT OVER 90 DAYS DURATION. <br />