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Date �-�-a� ' ' .-. <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Zwaller, Steve <br />O�mer <br />4709 W. View Dr <br />Address <br />Describe Proposed Work enclosin¢ a[tached caroo-f <br />Pro�ect Address (ff known) <br />Pu01ie Work� p�rmM � <br />��� <br />Biep. Deo1. �_92/ 3 5 S 31 <br />Pu01ie Wodt Fea <br />Total Fea i <br />Lea� AooL Fae V�IC S <br />B�bnce Due S <br />Everett WA 98203 259-7481 <br />City Zip Phona <br />City <br />Altach four (4) coples of plans for proposed work • Draw to scale and note the following as applicable: <br />• Property Linea <br />• Outline end dtmenaiona of ell existinp and <br />proposed atructures on the lot <br />• Exiatinp and proposed utilities <br />• Centerline of street <br />• Indicale Norih <br />• Show eny proposed grading changes <br />� Show measurements <br />PERMIT CONDITIONS <br />1. All calls for innpectlon ehell be mede 24 hrs. In edvance • phone 259$810. <br />2. All work shall be performed in eccordance wlth this permit and curtant Ciry of Everett Design and Constructlon <br />Standarda end Specific�t{on�. <br />3. Cell Locatlon Underpround 3�Mce 18 hn. beforo ynu dip. TOLL FIIEE NUMBER 1•800-4245555. <br />��IITIAL INSPECTION <br />KIRK HROOKS <br />a�Te �--� - 9/ <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved es Constructed <br />���PUBLIC WORKS DEPARiMENT <br />3200 Ceder Street <br />Everett, WA 98201 <br />Phone:259•8810 <br />�. <br />���'�`� <br />l�`' P�W ;�.�'- <br />� ��Y� �-'I "9 Z <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />� <br />� <br />O <br />� <br />� <br />0 <br />a <br />�ned owner/applicant herehy agrees to hold and save harm- <br />i of Everett from any and all claims lor damages, costs, <br />� causes of action that may arise because of installation <br />-.._ .............ance of the improvement or other right-of•way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />ib0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEF I5.T0 <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PEHMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />