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i <br /> Date 6-16-99 <br /> pppPration For - <br /> PUBLIC WORK� PERMIT public Works Permi�8 �8 <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street 62761 <br /> Everetl,WA 98201 (425)257-8810 Building Permit A <br /> n�� o� <br /> Tl'PE OR PRINT ONLY =5 �qSfiING �AY 2 a � Public Works Fee S �0 <br /> Leslie Hanning 11310 Vernin Rd Lk Steven 98258 334-8743 <br /> Owner Mailing Address City Zip Phone <br /> Earl Rotherick 425-239-1369 <br /> foplicaot MailingAddress Ciry Zip Phone <br /> Describe Proposed Work new house W <br /> r <br /> � <br /> V/ <br /> PROJECT ACDRESS (i� known) ��Tulalip Ave __ � <br /> O <br /> Attaeh lour(4�eopias plans lor proposed work•�raw lo scalc and notc iho lollowing il applicabtc: � <br /> •Property Lines •Outlino and dimensions ot all existing and proposod sirucWres on Ihc lol •Existing and proposed utilities <br /> •Centorline of slreet •Indicato North •Show any proposed grading changes •Show measuroments � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: O <br /> 1. All calls (or inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. AII work shall bo pertormed in accordance with this permit and current Ciry of Everett Design and � <br /> Conslruction Standards and Specifications. , � <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-B00-424-5555. <br /> `� S.�c+���.'�✓�c/'.r ,ecE� o�Ecx� �'�zda�-�`3�G, �,uco.� lz-� O <br /> ,Gr...�-Zk��1� ���z�0-t�� ,G�ctrt� a�cr�� .�Jfio �v�.�•L`� 3�t�'S7`. � <br /> 7ror>faJ� . �12vo Se�-��s>aG� r'c�virro�) <br /> �� 7% f,t'rS7"+ ' ll�tc�u�� C✓/'..cc,�dtc.rz. G7Y /c��u.L7L7c�a �.1�l�LQI � <br /> /J�,4„[,.Z�zA7 ��u� ./2��¢l�p��f� Lur.l���Stc-„d4�ul� cu2G d s.c,cL�c�ln-�L� <br /> �. �m2�sccL�C _-Lv"L!%�i .�-""' �C�L�c�/ Lc.tTtl-�-,L�:.Q.�L' C� /L��'Z'�zc�v <br /> ,� �«>�, . ,�, ,�.�_�, d�'���c� . (sz-� .� .T���� <br /> � �- .�7,�-�e��- �.,�����M,� ���� ���-� �-�-� �� ���� <br /> ACKNOWIEDGEMENT OF CONDITIONS <br /> / � � ��Z �/�� The undersignetl owner/applican�hcreby agrecs lo holtl and savc harmless <br /> r-�I/ the Ciry ol Everetl�rom any and all claims tor damages,costs,expenses,or <br /> �-t'S .,7�1^— causes ol aclion tha�may anse because ol installalion and maintenance of t�e <br /> pprov r�F ons ruc ion `^" / improvement or oNor riqhLot�way usn hereto 2pPIicO lor and further agrees to <br /> ,,/�/' mmo same upon notice Irom Ihe Ciry a�to replace publM property dam- <br /> /'Y 'r![ �/� ���-O U oge er by. � 7 (� <br /> FINAL INSPECTION ���� �f /r `� <br /> ApprovcA as Constmcted �� <br /> �gnature o F i <br /> WORK AUTIIORIZED BV THIS PERMfT MUST F3E STARTED WITHIN tE30 DAYS(�DA1E PERMfi IS ISSUED AND i}iERE.4FTER IS TU 6E DIUGE�d1LY PUP�'JED TO <br /> CpMpLEIION.hIIS FcRI,AR MAV E�e CANCELLED BY THE Cfil�Uf�tJ PNY S70PPAGE OF W0�'iK ON 1tNS PRQE(.'T OVER 90 DAYS W RAl1CNd. <br />