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Date 4-27-94 <br />PUBLIC <br />Print or Type Only <br />Lyle Blank PO Box <br />Ownal <br />Owner <br />Applicant <br />�- -7- 76 <br />Application For <br />TO POSTING $-2/ <br />�+ <br />WORKStr,"PERMIT <br />C <br />O <br />pp o p <br />O O S <br />6 <br />ti <br />fJ Mi00�tp� 0 <br />`e b - M <br />d-00 <br />*4 LA <br />� wwiA� Mtla �oM <br />2266 Everett, W 1 98203 355-i1-'/25 <br />_ <br />—NiN—R--i <br />, s <br />:� n�oJ u�iW nU)� p <br />Address <br />City <br />P-tdc wD'ka PMmll • 1 I S 7 / <br />Borg. part • 44--924 <br />p7f7 aydrla FeFe�__ <br />Tatal Fee $ _ <br />Lela ADPI Foe Paid $ -- <br />Balance pue $ <br />Describe Proposed Work new house <br />Lot 3 Short Plat_40-93 _ <br />Project Address (it known) 1704 Scenic Dr - -- <br />W <br />_ <br />Affect. Will (4) , oples of plans lot proposed work - Draw 10 scale and note the following <br />as applicable; <br />• Property Lines <br />•Centerline of street <br />• Outline and dimensions of all existing and North <br />• Indicate <br />to <br />/— <br />Proposed structures on trio lot • Show <br />• Existing and proposed utilities y proposed grading changes <br />• Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance. phone 259.8810. <br />2. All work shall be performed in accordance <br />O <br />with this permit and current City or Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig, TOLL FREE NUMBER 1.800-424.5555. <br />O <br />Approve. �tructlo �� D_tl�'�— <br />...� F <br />FI L I�C-'iC/�, Da <br />Approved as Constructed le <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the Cil) of Everett from any and all claims for damages, costs. <br />expenses, or causes of action that may arise because of installation <br />and maintenance of the improvement or other right-of-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />�� '• neplaea public property damaged thereby. <br />aluie of Applicant t Date <br />PUBLIC WORKS DEPARTMENT KX ORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />VW Everett, WA 98201 BE DILIGENTLY PURSUED TO COMPLETION THIS PERMIT MAY BE <br />Phone: 259-8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION, <br />