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Date 12- to -DO <br />rosTiNG!7-16-5� <br />v�oic wau v.,mn. <br />eup peq r 9Q�2(aD$� <br />weTr won. r« <br />tau r« �— <br />R,ii;w& PAYN5 4509 egwAQ5rAvc- >­�✓trgrr {CIA %=3 259-3io1- <br />Owner Mailing Address Cily Zm Phone <br />,54M E <br />Applicant Mailing Address Cdy Zip Phone <br />Describe Proposed Work SF,4 Ol 11 <br />t ll efHv <br />Attach lour 141 copies of plans for proposed work - Draw to scale and note the following as applicable. <br />• Property Lines • Centerline of street <br />• Outline and dimensions of all existing and • Indicate North <br />Proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. In advance- phone 259.8810. <br />'r. All work shell be performed In accordance with this permit and cu nem City of Everett Design and Corral ruct ion <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig TOLL FREE NUABER 1-900.424. 5555. <br />1i0�1 ZF�A�1 l�S C>ecy— E k t S %10Q;j <br />UPC-a2.l�.O� 'Z MITI-7�C, <br />12 -2-0 - 90 <br />FINAL INSPECTION Dale <br />Approved as Constructed <br />,•vvngt PUBLICWORKS DEPARTMENT <br />320Street <br />Everett WA 9 <br />8201 <br />Phone. 2598810 <br />olz�::Z'jIr-v <br />The undersigned Owner/applicant hereby agrees to hold and save harm <br />less the City of Everett from any and all claims for damages. costs. <br />expenses, or causes of action that trey arise because of installation <br />and maintenance of the improvemen or other right -of way use hereto <br />applied for and furiber agrees to remove same upon notice from the <br />City and to replace public property damaged thereby. <br />/27 <br />S,Boat scam Date <br />Vv 1,11'THORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />