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�� �Piiw�ion Por � <br /> PUBLIC WORKS PERMIT .�a1e- 6'2'97 <br /> PUBLIC WORKS DEPARTMENT �ublic Works Permit a _J���_ <br /> 3200 Cedar Sheet W <br /> -� ��1},.yJ(�y�01 N�5i8g10� U uildin�Pertnit A 55314 _ <br /> a�ln <br /> IYPE OR PRINT ONLY Public Works Fee$ <br /> �'.�-�Ngg �ig ��ig g � � <br /> Juat Rite Const 8015 BeV�1+$ ���jg2�{(� Z9 1812 <br /> Owner Malling Address m � iry Phone <br /> Owner � �� •• T � � J <br /> M S <br /> Applicant Mailing Address� � � � 5 F Zip Phone <br /> � <br /> Describe Proposed Work new houae � <br /> r <br /> � <br /> PROJECTADDRESS(ifknown; �Iw� ��Vr�!'%�C� Lot 2 SP 1f45-J6 � <br /> Atlach four(4)copies of plans for proposed work-Draw to scale and note the fo�lowing it applicable: �A <br /> �Property Lines �Outline and dimensions of all existing and proposed structures on ths lot •Ezisting and proposed utilities ( ] <br /> •Centedine of sireet •Indicate North •Show any proposed grading changes •Show me�suremenis 'a� <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2.AII work shall be performed in accordance with this permit and current City of Everett Oesign and <br /> Construction Standards and Specifications. <br /> ' 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> , t <br /> � . �y� I �r�.e, Y� -�-o� � e�� -b c►��I� . � <br /> Da ►�0�" i n S�� l � i n i ('�t.-+-�ov1 �"tG�+. O <br /> a <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> / The undersigned owner/applicant hereby agrees to holtl and save hartnless <br /> �,�� � � the City of Everett from any and all claims for damages,costs,expenses,or � <br /> Pyp�o.zd for Consiructio Dz e causes of action ihat may arise because of installation and maintenance o1 <br /> ,�.�� the improvement or other right-of-way use hereto applied br and further agrees <br /> �f� :r to remove same upon notice fmm the City and to replace public propeAy <br /> / �Cit' /�. 1 'y' � dther y.. <br /> FINAL INSPEC Date r <br /> Approved as Constructed /� 9 <br /> (.� <br /> Si nature of Applican ate <br /> WORK AUTHORIZED B1'THIS PERMIT MUST BE STAPTED WITHIN iB0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANC�LLID BY THE CIN UPON ANY STO�PAGE OF WORK ON THIS PROJECT OVER 90 DAYS DUMTION. <br />