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� �^� �,; <br /> ���� PUBLIC WORKS PERMIT °"• <br /> PUBUC WORKS DEPAHiMENT publk VJorW P�nnit� <br /> 92W CWv Stn�t <br /> Ewntl,WA 9E201 259-8870 g�yyp Pumit f <br /> TYP£OR PRINT ONLY Publie Works Fea f <br /> Plan Check No: C 58113 BiPA ' <br /> 11pp licat.Dat�: 03/09/98 p�� <br /> a"'^K � Job Addr��ts 1644 RUCKER AV6 <br /> Ownus MCC71!'lRtE DAVID <br /> Tenante <br /> Propo��d U��: SINCLE FANILY RESIDENCE <br /> AppAeanl Me ��DITION�/rkRENpDBL Phons <br /> Desc�ibe Proposed Work OFFICS SST W <br /> JOB SET <br /> APPROVED FOR PEAMIT: DATB__�_�_ HY � <br /> � <br /> � <br /> PROJECT ADDRESS Qf known) � <br /> Attaeh four(4)eopies ot plans lor popoxd wqk-Draw to soele and note the lolbwing H applkaWe: <br /> 7roperty llnes 'Outllne and dimenslona o1 Wi ezisting end proposed str�eture�on Me bt •Exlstinp and proposaA utilHles O� <br /> •CentMine of street •Indleate North 'Sl:ow any proposad grading chanysa 'Show measuremente � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspecNon shall be made 24 hows in advance- phone 259-8810. O <br /> 2.All work shall be pertormed In accordence with this pertnit and curcent City of Everett Design and <br /> Construct(on Standards and Specificatlons. <br /> 3. Cali Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. H <br /> `UG!It; WORKY �6AMi'� � <br /> y�31' REUUIRb� O <br /> 0'/.�_�.yJ <br /> _. . . . _ �ATE._�/__,�O �,r A <br /> ii <br /> I� �dd��r� �s kv bt c�r►s�ckcd over cx�sE�n9 <br /> S,-d� se�✓ -C'�e �cfPe ��r{ (x Ge�„�� �f-v n�w,F <br /> U_f�C. <br /> ACKNOWIEDGEMENT OF CONDfT70NS <br /> � T»undarsiqrnd ownedappNcanl Mnby prsea to Mld anE sew hartnNss <br /> the Gty ol Ewntt from u�y�nd aR claims lor damages,costs,expenses,a <br /> Approved lor Constructfon Date uusn ol aclbn lMt may arisa beeausa of inetallalbn and mainienanca of <br /> tha impovartiant p other ripM-obway usa herato appikd fa and IuMer aprcea <br /> to rertwve aame upon notka irom tha Ciry arW to replece public property <br /> damaqed thenby. - <br /> FINAL INSPECTION Data <br /> ApprovM as Consin�cted <br /> Sign�tun of Applkant Dale <br /> WORK AUTHORIZED BY THIS PERMR MUST BE S?ARTED N11HIN 180 DAYS OF DATE PERMfT IS ISSUED AND 7HEREAFfER IS TO BE DILIGENiLY PURSUED TO <br /> CAMPLEl10N.THIS PERMIT MAY BE CANCELLED BY THE CIiY UPON ANY STOPPACaE OF WORK ON 7HIS PRQlECT OVER 90 DAYS WRhTif'� <br />