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��� <br />t' � <br />y�M <br />K n <br />��� <br />W � <br />� � <br />� <br />p�fi <br />ry�M <br />���yH <br />W �' <br />Hf�C�o <br />�c� <br />1 �_ <br />= <br />��ti <br />i � <br />_ _� <br />Date_25=92 <br />Appliwtion For <br />PUBLIC �110RKS PERMIT <br />� •�nt or �iype Or:ly <br />�e, _,��,., ��,m,� . <br />e�,:oo.m.• q7/15554 <br />��o � „o,., F�, 5 <br />TCId� Feq � <br />Lms AOJ� Fea GUC 5 <br />gaience Due S <br />A1 Butl.er 2022 Vir inia Ave EvereCt 98201 <br />Owner Mailiog Adtlress City Zip Phone <br />E.J. Moore 1317 Grand Ave Everett 98201 388-8703 <br />qpplicanl Idailing Address City Zip Phone <br />DrscnbePwposed Work add dormer;conveTt attice for stota�e <br />Protecl Atldress (il Fnown) <br />FliaCh lour �4) topies ol plan5 lor pwpo5etl wor4 - Draw Io 5cale and no�e the following as appliCable: <br />• PrOperty LinCS • Cent?rline of sbeet <br />♦ OdtlinH antl tlimensions c� all er�sDng antl • Incicate NOrih <br />proposed structures on ihe lot • Show any proposetl grading chances <br />• E•istinq anC proposed utihties � Show measurements <br />PERMITCONDITIONS <br />t. All calls lor inspec�ion shall 6e made 24 hrs. in advance • phone 259•8810. <br />2 All work shall be pedormed in accordance wilh this permil antl current City ot Everetl 0 esign and Consiruction <br />Slaadafds anC Specificati0ns � p,` � <br />3 Call Location Undergmuntl Service 48 hrs. hefore you dig. TOLL FREE NUMBER �X�•424•5555. <br />� �� -� � r <br />��J.� v'�, ���� �,�_ �: c,;�, , �� : <br />ApproveC lor Construction Dale <br />FINAI INSPECTION Date <br />Apprcvetl as Conslructed <br />�PUBLIC WORKS DEPARTMENT <br />�� 3200CedarSlreel <br />��am4en Ecerett. WA 90201 <br />_°'� Phone:259�eB10 <br />,�., <br />�� �,i ✓ <br />mM <br />0 <br />� <br />Z <br />O <br />ACKNOWLEDGEMENT OF CONDITIOYS <br />The undersigned owner/app�icant herehy ag�ees to hold antl save harm- <br />less Ihe City ol Everett Irom any and all claims br damages, cosis. <br />'expenses, or causes of action that may anse because of installa�ion <br />and maintenante ol Ihe improvement or olher righ4ohway use hereto <br />applied tor and luriher agree5 to remore 5ame upon noliCe from ihe <br />Ciry and to replace pi:blic propertp damaged Ihereby. <br />Signoture of Appliwnt Date � <br />WORK AUTHO(iIZED BY THIS P[RMIT MUST BE STARTE� WITHIN <br />780 DAYS Of DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DiLIGENiLV PURSUEJ TU COMPLETION. THIS PERMIT MAY BE ' <br />CANCELLED 8Y T4C- CITY UPON ANY STOPPAGE OP WORK ON THIS , <br />PROJECT OVER 9� DAVS DURATION. <br />