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Appliewtion For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Ceder Street <br />Everett, WA 98201 259.8810 <br />TYPE OR PRINT ONLY TO POSTING DEC 0 <br />Date 5-26--97 <br />Pudic Works Permit N l e/ 1 <br />Buildmy Permit • <br />58939 <br />Pudic Works Feet Z10— <br />Jeff Atkins 812 91st P1 SW Everett 98204 425 513 5409 <br />Owner Mailing Address city Zip Phone <br />Glen Olin 337-3451 <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />new house <br />C5-10-98 4:43PM <br />If t)dy6y <br />BUILD 655.32 <br />11ECH 80.00 <br />S, 20a AuG Lot 1 S)SBK-94 20.00 <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following If applicable: SEWER 70.00 <br />-Property Lines 'Outline and dimensions of all existing and proposed structures on tM lot 8Exlstind*jLjffi0os*bf8W <br />`Centerline of street 'Indicate North 'Show any proposed grading changes `Show measureNdlilliAL 2726.82 <br />W <br />t� <br />C0 <br />0 <br />W NV I Writ I r OrLVYY 1Il10 LING A CH6492 I <br />PERMIT CONDITIONS: <br />1. All calls for inspect,on shall be made 24 hours in advance - phone 259-8810. O <br />2. All work shall be perfo. ned in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 his. before you dig. TOLL FREE NUMBER 1-800-421-MMIL 11111111110 <br />4. —fk;s lot- ft8v#;+k Press.-m see -N,,,"k eeLde-,n tCO) <br />t eci,�e o-F Ko&Oki, Q <br />a <br />li 06-10-98 4:31 <br />li 58 9 <br />BUILD <br />855.32 <br />LUMB <br />8 "0 <br />ii <br />0.00 <br />SRCHG <br />4.50 <br />DRIVE <br />20.00 <br />If <br />56 <br />WATER <br />50. <br />N <br />31561. <br />SEWER <br />70.00 <br />J 1 Irr1 TTv <br />I ' t : nn <br />FINAL INSPECTION Date <br />Approved as Constructed <br />The undarsigined ownedAoolf#nt hwd0yQ*ft3 to told and seve harmless <br />the City of Everett from any and all claims for dame#%-*Wey3~2r <br />causes of action that may arise " tallatfon and maintenance of <br />the improvement or other right-of-way use o applied for end further agrees <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STO <br />ERMIT IS HUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />