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/^/� <br />�•►� <br />TYPE OR PRINT ONLY <br />�i14� <br />TO POSTII�G --- <br />,�pprcaron Fur <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98207 (425) 257-8810 <br />Date 4-8-99 <br />Publ� Wo�ks Permit N �� <br />�� <br />Building Pertnit R . 62109 <br />"� Fublb Works Fee S u/ _ <br />� <br />Pavel Gudev 10409 3rd Ave SE Everett 98204 425-348-2974 <br />Owner Mailin9Addressf Ciry Zip � Phone . <br />Uwne[ ' . . � . <br />Applicant Mailing Address �� Ciy Zip Phone ^ <br />Describe �re�osed Work <br />PROJECTADDRESS (ii known) <br />house <br />7411 p� <br />A!tach four (4) copies plens for propo°ad work • Drew to scale and nole lhe following It epplicable: <br />• Pmperty Jnes • Outline and dimensions of all existing entl proposed structures an Ihe lot • Ezlstlng ond proposod utilities <br />• Centerlino ol street • Indicate North • Show any proposod grading chenges • Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONJITIONS: <br />1. All caiis tor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. AII work shall be peAormed in accordance with this pernit and currenl City of Everett Design and <br />ConsirucUon Standards and Specifications. , <br />3. Call Location Undergruund Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />1 <br />� / <br />'.��' e onst on ae <br />�LY� �,�� /1 6 -S <br />FINAL INSPECTION Date <br />Apprrned as Construded <br />W <br />� <br />� <br />V/ <br />ACKNOWLEOGEMENT OF CONDITIONS <br />The undersfgned owner/applicant hereGy agrees to hold end savc hemdess <br />the Ciry ol Everetl trom any end all claims for Camnges, costs, expenses, or <br />causes of actlon that mey arise becauso of installabon and main;enance ot the <br />improvement or other ri�h4obway use hereto eppli' d for and IuA�er agrees to <br />remove same upon ratice from the City and to repinsa puGk properry dam• <br />aged t by. <br />Slgna ure oi7�pTican a—�� <br />WORKAUTFIORIZED BYTHIS PERMR MUST BE 5TAfiTED NRTHIN 180 DAYS OF DA1E PERMR IS ISSUED AND h�REAFfER IS 7D BE DRJGEMLY PURSUED TO <br />G�NPLEf%NJ. THIS PERMR M4Y BE CANCELLED BY T}� CRY UPON AIJY SlUPPAGE OF WOFtl( ON 7HIS PROJECTOVER 90 DAYS W FiAT10N. <br />