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nvvi�w,�onko� <br />� PUBLIC WORKS PERMIT <br />PUBLIC WORKS �PARTMENT <br />32J0 Cedac"�treel <br />ryr a 9 .___Everetl.WA98201� 259-BB70 <br />awn 1447 <br />TO POSTING � � �� g � <br />TYPE OR PRINT ONLY * <br />v�Oi n��M <br />James Sanders 1701 121st St�SE �L102 Everett 9820 <br />Owner Mailing Address o\ �' o-= Ciry <br />Same <br />Mailing <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />stand <br />e�m nucker Ave <br />Date <br />10-2 <br />i <br />Pub�ic Works Pertnit N __/�¢�Q — <br />Building Permit M 53290 <br />Public Works Fee E _3✓ �� <br />8 316-1962 <br />Z�P Phone <br />ZiP Phone <br />Attach four (4) copies of plans for proposed work - Oraw to scala and note the following if applicable: <br />•Property Lines 'Outline and dimenslons of all eaisting and proposed siructures on the lot •Ezisting and proposed utilities <br />•Centerline of street •Indicate North •Show any proposed greding changes •Show measurements <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />�. All work shall be pertormed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-42M5555. <br />� �/Yy1 � /".c�C CGrrLiG�J Cc�7^< �"rivf�yS <br />Tv�c.rC `�C • / / <br />�r 7t7..i IOCQTio� Y"aV /7CE� 7'O O�. /^CSoL✓C <br />�y �� �s�„_,� t!c Co� f.o., �,` �Jia sf., ., o! <br />/1 ' f'f�o <br />Approved as Consimcted <br />� <br />O <br />N <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save hartnless <br />the City of Everett from any and all claims for damages, costs, ezpenses, or <br />causes of action that may arise because of installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and turther agrees <br />to remove snme upon notice from lhe Cily and to replace public property <br />damaged lhereby. <br />—_" <br />�,. C , , <br />Signature of ica <br />Date <br />COMPLETION. TH SD ERMIT MAY BE CANCELLEDTBYT E CINIUPON ANY STOPPAGE OF WORK ON THIS PROJEC OVER 90 DA S DULRATION.Y PURSUEU TO <br />