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� -.�-,�-,_.;_ ��� <br /> J <br /> Pu01iC1Yor1.5 Pern��1• � — <br /> Date._ 3=5'�? �iaa o��� • 35851 _ <br /> nanncaao� ror _—--. <br /> PUBLIC WORKS PERhMIT °°°r�w�F«`"° 5 <br /> �essnooi F��e aam S <br /> ynH P,intorTypeOnly TO POSTI���G ����'�(_�} e.,..,����o�� 5 <br /> 2(:1� <br /> � hr7� <br /> p � x P.eam Construction 3514 Broadway F.verett WA 98201 258-4331 <br /> � H CiIY ZiP Phone <br /> .�i y y Owner Maihng Address � <br /> K�� Owner phone 1 <br /> Mailing Address �'�Y Z�P ^J , <br /> � H � nPnl�caM 1 <br /> v� H Z �.�.vi E�v • <br /> x2' � Describe Proposed Work new SFR Lot <br /> [sl O C�1 <br /> H t7 <br /> OH <br /> �� g - - W <br /> ~ � � <br /> z> y Z415 Vi �� ���5� AVC <br /> r H y Proiecl Address 1�� knownl <br /> �� <br /> y �itnG�four I�I�opies M Plans for proposed work-Dra:v lo scale antl note Ihe lollowing as applicable: � <br /> r{ • Centeiline of slreet <br /> n ty N • Pruperty Lines • Indicale North <br /> G C � • OuUine anc dimensions ol all exisling anA � ShOw any ptapo5ed gradin<J chan�es <br /> � ��� xoposetl 5tmcture5 on Ihe lot � <br /> [x� � • St:ow measurements <br /> x y (p • Gxisting antl PrOposed u�ilities <br /> H O (/� <br /> DO NOT�NFITE BELOW THIS LINE O <br /> � PERMIT CONDITIONS ^ <br /> 1.All calls for inspeclion shall ba m.de 24 hrs.in advance-Phone 259•5810. <br /> � 2.All work shall be perlormed in accordance wilh ihis permit and current Cily ol Evcietl Desgn and Con,tmc�lon � <br /> I Slandards antl Specifiwtions. � <br /> '��' 3.Call Location Untlerground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•55 1 . <br /> 4 . I •�st� I1 ror}, runstruction Pnt� :+n�.�' }.chin�l 1riv�w� ,- '� n�r ri ' v <br /> �� � <br /> ;-.f�.:m .l��r�' �t'.�ii' anrJ �ro^ion � ont.rnl ,� -, �lirv Y..�d }�v Puhli,� l�tnrk.� <br /> In:;P�rtur. <br /> . _ S. KPBjJ r_itY SY�PPP.�:S clean at �11 i:imes <br /> ; � �' 6. CurU gi�tt,er and sidewal.k in the plat are new and undama.r.r��l. � <br /> � �� any damage therPto ehall be reFlaced at. the diecretion ��} � ��� � <br /> Publir_ Work� TnsF�'ctnr. <br /> 7. Any change in the drivewav cut must be approved bv thP I,li� O <br /> '-1=' WnP�cF tnSPP,rYnT` <br /> ri Ai:iu�, i w�iter l.c .:F:- t.r ri ����. �Y. nn��1 �,1 r�n=tr ,�rtinn. � <br /> ,�� f�ri��� < < , s�lr� ll L�:, • nrl•.�-.• I �a ���ir� j I,,..i�,.,.r . Irivin•� ��n th;,�n. <br /> s� <br /> ��� <br /> ' ACKNOWLLDGEt.tENT OF CONDITIONS <br /> ; `�� 7hE untle�signed owner/app�icaM hereby agrees to hold and savc hnrm- <br /> _ ' __ — � less ihe C�ty ol Everetl imm any and ail claims lor dama9e6. cosis, <br /> � — e.penses. or causes ol ac�ion ihai may aiise because ol installa�ion <br /> ��C 1/�.' Z — I ��9Z and inaiNenance of ihe improvement or other right�of�way use herelo <br /> ����- � �pplied lor anA furlher agrees to remove same upon notice hom the <br /> Approved�or Construclion / . �"�� City and�o replace puUhc property dam,ged Ihereby. <br /> y�� <br /> � _� �1 _,� ,--�, . �,p�� t , 1��� 5 -�_�z <br /> FINAL INSPECTION Gate D�tc <br /> Approved as Co�structed <br /> Signature ol Ap licant <br /> � WORK AUTHORIZED BY THIS PERMIT A1UST BE STARTED W�1HI <br /> PUBLICWORKSDEPARTMENT 1s] DAYS OF DA7E PER611T IS ISSUED AND THEREAFTER IS TO <br /> �r�� 3200 Cedar Slmet BE DILIGENTLY PURSUED TO COM1IPLETION.THIS PERMIT MAY �[ <br /> Gvereu,R'A 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> phone�?59�8810 PFOJECi OVER 30 DAYS DURATION. <br />