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i yyI �' PUBLIC WORKS PERMIT D81B 5-29-9� � <br /> 1�Yr_� PUBLIC WORKS DEPARTMENT Public NbAcs Permit N � 2� <br /> 3200 Ceder Street <br /> Everett,WA 98201 259-BB10 Bullding Pertnit N 55284 <br /> To r�s�iNs Nov_ o� <br /> TYPE OR PRINT ONLY Public NbrAs Fee E �� '� <br /> � Richard Frey 1203 N Machaie Lk Stevens 98258 397-0493 <br /> Owner Mailing Address Ctty ZiP ��e <br /> O�mer <br /> Appliwnt Mailing Address Ciry Zip Phone <br /> Describe Proposed Wcrk_ new house � <br /> — � <br /> � <br /> � <br /> � <br /> PROJE�T ADDRESS(if known) J�B2/— J¢4�iu�f7� � <br /> Atlach four(4)copies ot plans for proposed work-Draw to scale and note ihe following if applirable: �(�p..�� �1I1 <br /> �Property Lines `Outline and dimensions ol all etisting and proposeC siructures on the lol •Exlstiny�a proposeatill� O <br /> M <br /> 'Centarline of street •Indicate North 5how any proposed grading changes 5how measurert�i t� �5.73 ' <br /> DO NOT WRITE BELOW THIS LINE • <br /> PERMITCONDITIONS: �� �'� Z <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-88�� 4•� <br /> 2.All work shall be performed in accordance with this pertnit and current Cit��verett D�i�Vand O <br /> Construction Standards and Specifications. � 9518 <br /> 3.Call Location Underground Service 48 hrs. before you dig. TOLL FREE N�R 1-��-6656. � <br /> 31264 <br /> � � n� �f SEWER 70.00 � <br /> `Ti rov/'v�c �r�rovro sca�� T�rP G✓c���pLfiY 3-0�� O <br /> o� s�fe P�Q.� . cmpr ak'����d� rorr� �b�.za <br /> ` CHEK 3 <br /> � !�i^o,n-� �:n� /�yo! Cc"fy �.�c'Ps �O ��Sf��i46 <br /> J <br /> " ACKNOWLED(iEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby aq�ees to hold and save hartnless <br /> � ����, !�� the City of Everett from any and ell cialms for damages,eosts,expensas,a <br /> wusas of action that may adse because of inetellatbn anO maintenance of �E <br /> qpp edforCo 5lruction ate thefmpro•+ementorothertight-of-wayuuMretoapplbdtaendlurlheragieas <br /> to remove same upon notica from the City and to replt�ce public property <br /> !���-`-- �t`/3 - O/ dema4ed thereby. <br /> !< <br /> Fi L INSPECTION Date o <br /> Approved as Constructed �j��/ <br /> L�I / // <br /> algna o i n Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMR IS ISSUED AND THEREAFTER IS TO BE DILI6ENTLY PURSUED 10 <br /> COMPLEf10N.THIS PERMIT MAY BE CANCELLED BV THE CI7Y UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />