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Date 3-18-94 C v�m�cwo,are,mn. � �>� /� �;' <br /> ApP�icationFor ,.: T� POSTING � � " � O�Deo��• 43818 <br /> , <br /> PUBLIC WORKS ��ERMIT °°°Ta,eFeeFQe s <br /> Less Aoo�.Fee Paia S <br /> Print or Type Only �'-C=;','-,�: ea�a��,o�� S_ 2�9 3z <br /> �. <br /> �1�Un:�:J:....� <br /> p 'r.�.r f..�'f.: <br /> 'A-�:...n� <br /> M <br /> Roger Olin PO Box 3216 Evere'�'t;L�'t�- �98203 337-7622 <br /> Owner Mailing Addr ���'r���,, City Zip Phone <br /> i � tc <br /> C�51.. <br /> Owner ��r-:e�. <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Wark new 4-plex <br /> Lot 11 Block 4 of Beverly Hills <br /> Project Address(if known) � �� 7 �1. Bj_C�^ � ri?rC'✓e �/^, � <br /> o � � <br /> P.ttach lour(4)copies ol plans lor prOpoSed work•f�raw Io scale antl note Ihe tollowing as appliCable: � <br /> • Properry Lines • Cent?rline ot slreet � <br /> • Outline and dimensions of all exi=!i�ig and • Indicate Norih <br /> proposed siructures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measuremen;s � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.Ail calls for inspection shall be made 24 hrs.in advance•phone 259•8810. � <br /> 2.All work shall be peAormed in accordance with this permit and current City of Everett Design and Construction <br /> Standa�ds and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800-424•5555. � <br /> � (_.GL'{-�C L��c� .Li� ,�c'- ��i 4�1�Jvu4.� �r_•L, O <br /> �a�(� `� - Z7-95� . �apy n�ac�iz�l) �A <br /> V+ , <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicaot hereby agrees to hold and save harm- <br /> less the Cdy of Everet� Irom any and all claims lor damages. costs, <br /> ezpenses, or causes ol action thal may arise becauce of ir,stallalion <br /> � �1����� t`� 7/�� and maintenance ol the improvement or other rigM�ol-way use hereto <br /> � � � applied lor and fur�her agrees lo remove same upon notice from ihe <br /> Approved Construcry'pn � Date Ciry and to replace public property damaged Ihereby. <br /> � ' <br /> � i , - � � � �7 � � '9 <br /> !� �yv� n r/ p <br /> FI Al SPECTION ' Dalc _- C�-V ct.Cc� vi'�`-� � �'9y <br /> Approved as Consiructed Signature of Applicant Date <br /> �A�� PUBLIC WORKSDEPARTMENT WORK AUTIiORIZED BY THIS PERMIT MUST BE ST/�RTED WITHIN <br /> 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSU�D AND THEREAFTER IS TO <br /> Everett,lYA98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259•8870 CANCELLED 81'THE CITY UPO�I AIJY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br /> ._--��.�.i.rsr. <br /> ���l�Yf �/� S�� ��'�{� <br /> � (I - <br /> P.�'1n"'c'> -- ',ta-�7 <br /> L <br /> 3/ `/ <br /> Fy-t,-�--� ! 1` <br />