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Appliwtion For � / <br /> � PUBLIC WORKS PERMIT Date� 6-2-97 <br /> PUBLIC WORKS DePARTMENT Publi�Work�Permit# � ( � � <br /> 3200 Cedar Street <br /> Everett,W 1 25 0 6 �99� W <br /> R� �C � BuildLqPermitk 55315 <br /> T� �. ..�. <br /> 1YPE OR PRINT ONLY pp pp p pPpublic Works Fee S <br /> .�-IM OSIflO V~YO O �0 N <br /> Just Rite Const 8015 Beverly Bl�� ��r�'���� 2��81� <br /> Owner Mailing,lddress �it �1 :� ' ¢ °hone <br /> O� 2 '� �r � d <br /> Owner " '" � <br /> Applicant Mailiny Address � x � � � � � = F Phone <br /> Describe Proposed Work new house _ � <br /> r <br /> � <br /> PROJECTADDRESS(ifknown) �8v-, �l��fS�INC% Lot 3 SP It45-96 � <br /> Artacn tour(4)copies of plans for proposed work-Draw to sc�le and nute ihe followinq if applicaUle: � <br /> � •Property Lines 'Outline antl dimensions of all existing and proposed structures on ihe lot •Enisting and proposed utilities O <br /> 'Centerline of street •Indicate North •Show any proposed grading changes •Show measurements � <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.All work shall be performed 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 1-800-4245555. � <br /> �� ��lti�l � n.G ro� -}� p rY.� a�' -b c�^ecr . � <br /> �u v�b-f- ;nS� ll ',��+; ���—w, -}�-rMe�di . O <br /> a <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> (/,'/� /_�� The undersigned owner/applicant hereby aqrees to hold and save harmless <br /> (/��( l�/ the City of Everett from any and all claims for damages,costs,expenses,or <br /> Approved lo Con roction Date causes of action that may arise because of installation antl maintenance of <br /> the improvement or other nglrt-of-way use hereto applied for and futlher agrees , <br /> to remove same upon notice Irom the City and to replace public property <br /> � '.��... a 1 _� � amaged the by. <br /> FINAL INSP TION Date <br /> Approved as Constructed � 11 <br /> Lv <br /> na re of plicant ate <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE�ILIGENTLY PURSUED TO <br /> COMPLEf10N.THIS PERMIT MAY BE CANCELLED BV THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />