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ApPllcatlon For ' / <br /> �,�i� PUBLIC VVORKS PERMIT °�'e '�'. z—Z-98 <br /> � �l8 0?7 <br /> PUBLIC WORKS DEPARTMENT Public WQr'cs Permit It <br /> 3200 Cedar Street ..!1..,, <br /> Everett,WA98201 259-8810 duilding�rtnilM_ 57�8$ <br /> TYPEORPRINTONLY Td POSTING ��----- . Pub�icWorks,FeeS �?J� <br /> - �,.< <.. � , ,� -u �, . . <br /> ¢i�. :�i : ' t'�i o o �� .,, <br /> ..��`. . ". : 'r. :: . - . . l�; <br /> Bill Retallick 9532 146th Pl SE Mill"Creek' �'98012''' 46U�b48 �iS05 <br /> Owner Mailin�Address � � City Zip ��� ; Phone <br /> ��� <br /> i <br /> i �_ ri <br /> Owner m oi - — <br /> Applicant MailingAddress �I, 'City� �� ;e ;,'- �:7Zip �'` Phone <br /> ,:s ui o_ r.� ir� ri :�: �.[ ..� 1^. <br /> Describe Proposed Work new i�ouse - Basic 1263 � <br /> � <br /> ��/� <br /> — V♦ <br /> PROJECT ADDRESS(if known) 8006 Upper Ridge Rd Lot 4 SP 117-97 � <br /> Attach fom(4)copies ol pinns for proposed work-Draw to scale and note ihe lollowing if appliwble: O <br /> •Property Lines 'Oulline and dimensions of all existing and pro�wsed stnicliires on ihc lot •Existing and proposed utilities <br /> •Centerline ol street •Indicate North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1. All calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2.All work shall be perfonned in accordance with this permit and current l'ity of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> . (�i�In��i Jt� �ni���1'.rt�nC ��'.OS'�I h111�1 1I" �l:'I��it•I:Pq i-� h.� :1D(� �'ICllli .WC� ��e���:` ;-?.�� (1� ��1P 81�V' � <br /> ,ionu��.uer ��I:ur.�e�•�ucut \I.um�il tcop�' � .taple�l to thi,pennit). 'llie miilh'atiou tr�uch ;hall b. O <br /> �li� c�J�i'1� (�I{III � )Cc'�� �0 Iql�' II�+ 5�0�?i' �ff(��?'Ii�' �Illi` or ibund:l�l0i1 IIOf C�USOt'�f1iU1 �(1 IPB1 �O fl71\' � <br /> ����rn�lopv propcm linr or fouud��uou �':ill �'uhlic Vv orks for an inspectiou prior lo coverinc, <br /> �_ � , n� � <br /> �:��;�I� '[T;i�� ��h�nctnr� hn, ��iprnx ��-f�> `;��_ Ft. n1'imprervious roof:u'ea. 'I7ierell,re <br /> i! ;i .:���i ; I;i�� o't lom�n� smi�i i� ,:.»um�:d :uid tL�� intillrtuion heucli is constucteil <br /> ��r. :I�en nnd 7%I. wide. lrcrm I;ibl^ i-?? ihe irench should br � aj �i.n�ty,. <br /> �--- <br /> � �.. !h • :i �� I,�� •�. ,;,.nou�ihilit�• to i�irntifi� t6�• eoil class in fhe tield w�d ifcondition� in th� tiold <br /> � Ilt il��111 IhO:r Ifl Iild PX:II�111�P - 91��1151 :LCI'Uf(�11!G�)' 1Ic111C 1�1L' A��0��8 011'.OIIOIIC(�IFIf1�C :iR .1 CII1l�:. <br /> ' -�!II!r!"'.` In !II^ flh' � �IIIILI� ���I'CC� ��:`•'t Illtlll:IC`IIICIII �7I'tIC11lY� J� SI�I:'CI ISI �PCUOII �"'.� 0} lI1P CIIC <br /> i i;.,ro i ��i � � o . • � . . , , lic:i�ionti tar l)r�'.I t�L,'L '1� ,11 <br /> � ACKA�L�EUGhAIEtSS"OFCON DITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save hartnless <br /> 2 �8 � the City ot Everett 1rom any and all cPiims for damages,cosis,expenses,or <br /> Approved tor Co FuctioR Date — causes of action ihat may arise because of installation antl maintenance of <br /> / the improvement or other right-o4way use heieto applied lor and fuAher agmes <br /> / to remove same upon notice from Ihe City and to replxce public pwpeAy <br /> j !�''��,�� damaged thereby. <br /> AL INSPEC, Date � " ` <br /> Approved as Constmcted /� .lAw'� <br /> Signature of Applic t Date <br /> 1NORK AUTHORI�ED BV THIS PERMIT MUST BE STARTED WITHIN 180 DAVS OF DATE PEfiIA!i I:ISSUFD AND THEREAFTER IS TO BE OILIGENTLY PURSUED TO <br /> COMPLCTION THIS PERMIT MAY BE CANCELLED�1'THE CIN UPON AN1'STOPPAGE OP WORK ON iH1S PROJECT OVER 90 DAYS DURATION. <br />