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, � /8-�9`s j <br /> Date 5/26/93 Q T� PuplmWorFaPe�mit• g.3 .3 <br /> Application For e�aa oeo�.• 40736 <br /> PUBLIC WORKS PERMIT PubbcWO�k3Fee s <br /> rm.i r�� <br /> Less�oo� Fee Pa�a S� <br /> Print or Type Only Balance Due s .� <br /> Marian Barry 1707 Wetmore Ave Everett 98201 259-4882 <br /> Owner Mailing Address City Zip Phone <br /> ASP Construction 652-9029 <br /> Applicant Mai�ing Address City Zip Phone <br /> Describe Proposed Work NeW gai8ge <br /> W <br /> Project Address�it known� 1707 Wetmore � <br /> Attach lour(4)copies of plans for proposed work• Draw to scale and note the following as applicable: � <br /> • Property Lines • Centerline of etreet � <br /> • Outline and dimensions of all existing antl • Indicate North <br /> proposed�tructures on the lot • Show any proposed gratling changes <br /> • Existing and proposed utilities • Show me2surements � <br /> DO NOT WHITE BELOW THIS LINE <br /> PERMIT CONDITIn!:S O <br /> 1.Atl calls fe;mspectior,shell be made 24 hre.in advance•phone 7�` �•8810. � <br /> 2.All wrk shall be peMormed in eccordance with this permit end current City of Everetl Deaign and Construction <br /> Stendards end Specifications. .+ <br /> 3.Call Location UnQerground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-4$4•5555. � <br /> � �l�`�:e�e�S�o�./t,�«� v Uh�z �,� �.c�c:.�y � <br /> �„uof �l. �,r��,,ac�o� �o L���a�,��,,�/C�q � � <br /> sf�d�ds, �`� � �,/«��' P� V� <br /> U/rc S 4- T� �,� 1 <br /> � O <br /> a <br /> �/��j ACKNOWLEDGEMENT Of CONOITIONS <br /> . 1�� <br /> The undersigned owner/applicant he�eby agrees to hold and save harm- <br /> less Ihe City ot Everett Irom any and all cleims lor damages, costs. <br /> �i��JC�l�/� expenses. or causes of action that maY arise hecause ol inslallation <br /> and maiMenance of the improvement or other righPo4way use hereto <br /> Approved for Co ruction Date applied lor�n fwther agrees to remove same upon notice trom the <br /> � <br /> City and to rep ce public property da aged thereby. <br /> �f'"''� i° -�' S3 " \) <br /> FINAL INSPECTION Date n � � � � �% � � � <br /> Approved as Constructed � Si a r � I Applicant fbate <br /> � PUBLIC WORKS DEPARTMENT ORK�HORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CetlarStreet - � 180 OAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phona:259-8810 CANCELLED BV THE CITV UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />