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, <br /> �. <br /> Date 4-9-22 � <br /> , ,.,..,�.,......, <br /> AOPlicatwn For �: o,.::� . _ 36�12__ __�_. _. . <br /> PUBLIC W�DRKS PENMIT �°°;�;;�;;,fetl $ _ <br /> �r� �„�5�,., ���F,.,, s— <br /> �9�Hx Print or T;pe Only "-°=°°'� 5 —_ - <br /> ahm <br /> y �H Lund, Todd 602 View liidge 0- I?verrt[ 98203 252-P'�47 <br /> K ('y Owner Mahng Atl�lrres �.��y Lp Phonc <br /> Oy0 <br /> '�1 y H Roger Olin Const PO Box 3216 Ev.ra,t 98203 337-7622 <br /> H [g'� App�icant Mailing Adtlress Cdy Lp Phone <br /> � O t�7 <br /> H t7 <br /> O H Describe Proposed Work SrR addn S Q3T�ge <br /> � �g <br /> �V [] <br /> H � <br /> rHy W <br /> p �� Projecl Atltlress lil knownl 602 View Ridge DC _ ( <br /> � �r Attach tour�4�copies ol plans br pmposetl work� Draw to scale antl note Ihe lollowing as appl�cabie. � <br /> z y y • Proper�y LmCs • Cenledine ol streel /w <br /> y p y • Outline and dimensions of all exishng ann • Indicate North V, <br /> proposetl slruclures on the lot • Show any pioposed graA�ny chanqes <br /> • Exisfing and pwposetl ulilities • Shovi mezsuremenis � <br /> 00 NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS <br /> 1.All calls lor inspection shall be matle 24 hrs.in ativance-phone 259•8810. � <br /> 2.All work shail be pertormetl in accordance with this pennit and current City of Everett Design and Consiruction <br /> '" ; Standards and Speci(ications. <br /> . 3.Call Location Unde�ground Service 48 hrs.brlore you dig.TOLL FREE NUMBER 1•800•424•5555. w I <br /> L <br /> �� �� ri O <br /> � c- �c�- c�. �� _ ��. /-,y „ [ . � / . . / <br /> � < 1_' � <br /> _ _ �� � � <br /> � � � <br /> i- �i �� ,�� _ � <br /> _ � <br /> � �i i <br /> ACKNON'L[DG[IdENT UF CONDITIONS � <br /> � " The undersignetl ownei/applicant hereby agreeSlo holtl ana save harm� I <br /> �^�.! less the Gly ol Everett Irom any and all �laims lor damages, coets. <br /> e�penses, or causes ol action thal may anse because of instaP,x:�on I <br /> antl maint.nan[e ol Ihe improvem?nt or other ng�Fot-way use hereto <br /> " ApProvetl lor Construdion Date applied for antl further agrees lo remove same upon notice irom the � <br /> City and b replace public property damagetl Ihereby. � <br /> � <br /> I <br /> FINAL iNSFECTION Date � <br /> Appioved as Conslructed Signalme ol Applicant Date <br /> ' PU9LIC WORKS DEPARTMEN7 �NORK AUTHORI2ED BY THIS PERMIT MUST BE STARTED WITHIN I <br /> � 32uUCedarStreet 180 DAYS OF DA7E PERMIT IS ISSUE� AND THEREAFTER IS TO , <br /> �`„ B[ �ILIGENTLY PURSUED TO COMPLETION TMIS VERMIT td�V 6E <br /> ����'��A��`��� ���NCELLED BV THE GITV UPOIv ANY 5 iOPPAGE OF ti'10NK ON 7HIS <br /> Paone S.0.a8;�10 � <br /> I PNOJECT OVFR 90 DAVS DUf7ATIGN <br />