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Dale 5-30_90 ;. ,... ,:� �..r��.....,�. . .. . — - <br /> r..,.� o,i,i . 90/24724 <br /> Appliwtion Por -- ��� - <br /> PUBLIC WORKS PERMIT �°°°°w°,�.�e° -- <br /> iotrirre S— <br /> �-30� �,�-,.nn:nn�.,.� � 5_..— ._ <br /> u.,i.,-��a,,,, 5_ __ <br /> �ay Frint orTypa Only �---- <br /> C�H <br /> >H:/� <br /> y �H Russell Iar�on 121G ituckcr nvc L'}tcrc.Y.t-9@201 252_30_tn <br /> � n Owner Maibng Atl�lress Gty Lp i'hone <br /> H:n <br /> „�� H,.�� North Sound Bldrs. 19404 Smokey Point ➢lvd Marysville 98270 653-2512 <br /> N H <br /> y C Appiicant A1a�line�Address City Zip Phone <br /> � O� <br /> "�d Addition & remodel - SFR <br /> O� � Describe Pwposed Work — , <br /> H �g . <br /> n. c� <br /> C H� � <br /> C [n 1216 Rucker Ave. � <br /> Projed Address lil known) I <br /> c�] C N i <br /> � C� Atlach lour(4)copies ol plans lor proposed work- Draw to scale and note ihe following as apphcabie, � , <br /> t'� • • Centedine ol stree� '^ <br /> • Properly Lines <br /> y HO y • Outlme and dimensions ol all ezisting nnA • Indicate North V� <br /> proposeA structures on Ihe lot � • Show any proposeA�radmy changes ' <br /> • Existing and proposod utilities • Shpw measurements � � <br /> DO NOT WRRE BELOVJ THIS LW[ O i <br /> .-- PERMIT CONDITIONS ' <br /> 1.All calls lor inspection shall be made 24 hrs.in advance-phone 259•8810. � � <br /> 2.All work shall be pedormed in accordance with ihis permit and current Ciry of cverett Design and Consiruction � <br /> Standards and Specifications. <br /> '� s 3.Call Location Underg�ound Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> �+ w' <br /> ��V'�,�-1 L-\�101zK$ ��i t��-U 1�� O . <br /> `...,. ...' ! , <br /> �� 6 1 V.�rr`��4.�C� <br /> '�� � ' �'�^ �� � �I �'. <br /> O li <br /> �a(`�� a <br /> ��.��i �I <br /> ACKNOWLEDGEMENT Of CONDITIONS �, <br /> The unders�qned owner/applic�nt hereby agrees to holtl and save harm� <br /> _',,,�a less ihe Clty ol Everet� irom any and all claims �or damages. costs. <br /> � eapenses, or causes ol aclion ihat may arise because of ins'allation <br /> antl maintenancc ol ihe improvemenl or olher nghl-of-way usc herelo <br /> 2pplied lor and lurthei agrees to remove same upon notice Irum ihe � <br /> ApP�eved lor Cons�ruction ���e City and to replace puUlic property damaged ihereby. �� <br /> FINAL INSPECTION ���e - <br /> ApproveA as Constructed Signalme ol Applmant ���t <br /> everclt PUBLICWOFKSDGPARTIdE�T WO(7K AUTNORIZED DY THIS PERMIi MUST BG STARTED WITHIN <br /> 0 32�OCedarStreet 160 DAVS OF DA?E PERh11T IS ISSLED AND THEREAFTER IS 70 <br /> Everet6 W/+98201 B[ DILIGENTLY PURSUEO TO COMPLETION. THIS PERM1IIT MAY B[ <br /> Phonc'259�8�10 CANCELLED L3Y THE CITY UPON ANY S70PPAGE OF WORK ON THIS <br /> PROJLGT OVE(7!10 DAVS DUfiATION. <br />