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��� i <br /> .r . . ' � C] 7��1 C7� <br /> Date �-5-92 N�oi�<wo�uve�mn. � � <br /> om,� oeo�.� 35853 <br /> Appiicaliun Fo� � <br /> PUBLIC WC)RK5 PFRMIT °°°°°~°„_°°° <br /> (� n .��r�«� s <br /> � � � TU f OSTI N V — �ess<nni Fer�a�e 5 <br /> hy t�1 Print or Type Only e��.,���o�� s 2B� <br /> A � x <br /> C,' H <br /> �i y y Beam Construction 3514 A:oadway Everett WA 98201 258-4331 <br /> y � H Owner Nailin9 Atldress Gty Lp Phone <br /> �C (7 <br /> H 71 <br /> O�H O� Owner <br /> y rn F+ Applicanl Mailin9 Add�ess Cdy :�P Phone �' �� <br /> � � � new SFR Lo[ 5 SEA�lI E\�/ �` <br /> H C7 Describe Proposed Work <br /> OH <br /> H �g - <br /> �. � <br /> �y� W <br /> �y �y Prolecl Atldress�il knownl —��'J �����C'��ST "�`1.�C (� <br /> O H r <br /> n �q y Attach four�4�copies ol plans lur prou?sed wmk� Draw to scale and nole ihe followin9 as applicable� � <br /> � [*1 [" • Properly Lir�es • Centerline of street /A <br /> z y y • Outlinu and dirr�e�sions ol all ezi;ting and • Indleale North V� <br /> y p y proposed struc!ures on;he lot • Show any proposed gratling changes <br /> • [ni;bnn ��ini P�oposed ulililies • Show measurements � <br /> �' DO NOT WRITE B[LOW THIS LINE O <br /> PERN IT CONDITIONS <br /> i1.All cails lor inspection shall be matle 24 hrs.in advance�phone 259•8810, � <br /> , �_ 2.All werk shall be pedormed in acwrdance wilh ihis permit and current City ol Everell Desipn and Construclion <br /> Standards and Specili�ations. <br /> �►' 3.Call Location Unde�ground Service 48 hrs.belore you dig.TOLI FREE NUMBER 1•E00•424•5555. � <br /> �1 . ]nst.ni. l r��rl; rrrrn:rti^uct.inn entr�nnr> br•hinrl rh�ive�•:;�t� �; pr-r rit.v <br /> st;anrl;�rd tt:?O!? nnd ernr,i.nn cnnf�.rnl r�a �1irr��P.ed hv C'nhlir �•7rn�1:;= � <br /> ' '�'' TnSPecr.nr. <br /> i �� 5. Keep citY etreeY,s clean at �1.1 ti.mes <br /> i� Curb gutter and sidewalk in t.he plat are new and undamae��i. i <br /> any dam��e therPtn shall be replar.ed at the diecretion nf rh� r <br /> Publir. Works In�pert�r. �w <br /> .�� 7. AnY r,hange i.n the drivewap cut must ba approved by the Pul-�lir� V� <br /> Wnrlt� TnnFrrrtm�. � <br /> � . A�9iv:,t. w�ter h�,y�,.., r.�, i�r,.,�9r� :i� „n�9 ,,f � �,n.-=r!�nri.inn. <br /> �� . . f��;.,��a:�,:� ah:, l .l h„ ,,� in� I �.�r.�: l ,. .��u�..,{ �,�,�1�,r�� �1ri�.� {ir� nn �,�_fi.�.ri. � <br /> �� <br /> � � °`� AGKNOWL[�GEMFN70FCONDITIONS <br /> � � ��� <br /> ��i ne undersi9netl owner/applicanl hcrehy a)�ees to hold and save hann� <br /> - -- - ss Ihe City of Everett Irom any antl al�. claims lor daina9es, r.osts. <br /> �penses. or causes of action that may .�rise because ol installation <br /> �����1 C � j � f9—�J'i �nd maintenance of the improvement or ]Iher righbobway use hcre�o <br /> � auPlied lor and Iwther aprees to remove same upon noticc Irom Ihe <br /> Appr vr�f lor Conslructi � Date City and Io replace publm property tlamogetl ihereby- <br /> �/� / / <br /> � !,V �1f� �,. ' J_ �'f'� ' � I c C, <br /> FINFL WSPECTION Date ��=QC +�'� T � d-e r-T J^7' f �i <br /> F.pprovetl as Consiructetl T Sign��ture of Ap�icam Dale <br /> �-� PUBLIC WORKSDEPARTMENT `NORK AUTHORIZED BY THIS PERMIT MUST BE S7ARTED WITHIN <br /> �- r 3200CedarSireet 180 OAYS OF DATE PEHMI7IS ISSUED AND THEREAFTER IS TO <br /> �Y �� �`, '� �,�, ��i�� �E DILIGENTLV PURSUED TO COMPLETIOIJ. THIS PERGUT A1AY B[ <br /> Phonc'259�BH10 CANCELLED BY?HE CIT�UPON ANY STOPPAG[OF\VORK ON 1HI5 <br /> ' PROJF:CT OVEF 90 DAVS DURATION. <br />