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,^G� -L`% �� , <br /> Date 11-2-94 / � puUbc Werke Pnrmn• <br /> App�ication For BiOg DeO� • 46101 <br /> PUBLIC WORKS PERMIT PU�To�alFeeFee s <br /> Less Rpo� Fee PaiE S <br /> Baiantt Due S <br /> Print ui i ype Only <br /> Fred Johnson 4830 Seahurst Ave Everett WA 98203 252-6138 <br /> Owner MaiVing Address Cdy Zip Phone <br /> Atwood Construction PO Box 12337 Mill Creek 98012 652-3G97 <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work boat garage <br /> W <br /> Proiect Address(if known) 4830 Seahurst Ave � <br /> Attach four 14)copies of plans lor proposed work- Drz.v to scale anG note the lotlowing as applicable: � <br /> • Property Lines • CeMerline of street �/A <br /> • Outline and dimensions oi all ezisting anA • Indicate North w� <br /> proposed structures on the lo� • Show any proposea grading changes <br /> • Ezisti•ig and proposed ulilities • Show measurements M <br /> W <br /> DO NOT WRITE BELO.1 THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be mede 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shell 6e peAormed in eccordance with this permit and wrrent City of Everetl Design end Construction <br /> Stendarda and Specifications. <br /> 3.Cell Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•42a•5555. � <br /> 0 <br /> � <br /> ?UBLIC WORKS PEFi�MIT � <br /> NOT REOUIRE� O <br /> �Y �f 5�- 1� � <br /> t�ATE <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby aarees�o hold and save harm� <br /> less Ihe Cdy of Everett Irom any antl all claims for damages, costs, <br /> expenses, or causes of action that may arise because of installation <br /> and maiNenance ot the improvement or other right-of-way use hereto <br /> applied for and lurther agrees to remove same upon notice irom ihe <br /> Approved for Construction �a�P City and to replace public property damaged ihereby. <br /> FINAL INSPECTION Date <br /> � Approved as Constructed Siynatwe ol Applican� Uate <br /> � PUBLICWORI;SDEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS ?O <br /> 3200CedarStreet 8E DILIGENTLY PURSU[D TO COMPLETION.THIS PERMIT MAV BE <br /> Everett,WA 98201 CANCELIFD BY THE GTV UPON ANY STOPPAGE OF WORK ON THIS <br /> Phane:259•8810 PROJECT OVER 90 DAYS DURATION. <br />