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; ' <br />�� <br />TYPE OR PFiINT ONLY <br />�plk�tlon Fa <br />PUBLIC �rORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Ceder Street <br />Everett� WA9B201 259-BB10 <br />� �i 3-22-96 <br />wak works Permn 0 <br />e�� p�H M 51181 <br />publ� Waks Fee S <br />Everett CC 801 Wetmore Ave Everett 98201 ��8 <br />Owner Meilirg Address C�h' �P <br />Kaz Murata 206-467-1840 �� <br />Applicant Mailing Address City Zip � <br />Describe Proposed Work <br />PRWECT ADDRESS (if known) <br />Annex T410 <br />ant vetmere Ave <br />Attech tour (4) coples of plans for proposed work - Drew to scale and note the folbwin9 H ePP�lcab�e� <br />�Property LJnes `OuUlne and dimensions ol all existing and proposed structures on the lot 'Ezisting and poposed uNlklas <br />�Centerline of street 'Indlcate North 5how eny proposed 9rading chanyes 'Show rtbes�remo^ts <br />PERMIT CONDITIONS: <br />1. All calis for inspectiun shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed In accordance wRh this permit and current City of Everett Design and <br />Construction Standards and Speciflcatinns. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-900-424-6666• <br />qppoveU for Constructlon Date <br />FINAL INSPECTION Date <br />p,pproved aa Constnicted <br />���Bl�O�f/w, �EGUTA6Y~�' <br />BY1� ��_��+ <br />� AT E - ��--• <br />W <br />� <br />� <br />� <br />��A <br />V/ <br />O <br />a <br />ACIUlOWI.ED�EMENT OF COMDRIONS <br />The unde�Wned ownedePWieant haisbY Nress ro hold end sevs harmMas <br />the Cky of Everett hom eny antl all c1aMro for demepes� cwts, expsnass� w <br />causes of actbn that may a�isa beceuse ot fnMaMelbn and mNnMnanee of <br />the improva�l a Whs rqMof•way uss hs�lo appNsd /aand hutlieraP'esa <br />to rertava aame Won notice hom the CttY end to �eplece WbNe P�P�Y <br />damaped N�ebY• <br />Signaturs ol Applkant �° <br />CAMPLEf10N�.�T1HIS PERMIT MAY BE CANCTELLED BY�TFiE qtt'UPON ANY STOPFMfiE O�F WORK ON THIS PROJECT OVER 90 DAYS DUFiAT10N.Y PURSUED TO <br />__ � <br />