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y�,-,<<-� <br />Date 4-30-92 <br />Apo�ication For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />n„eu� won� c.,m.. <br />e�e� ow� . �5292 <br />>�m.�woo�r.. <br />tcuir.. t <br />io.eoo� re.P.�o 5 <br />n.0 <. m. ! <br />Semvel c Helen Nargaetd 6108 Dexter tverett, WA 98203 353-7544 <br />Ownei MaiungAtltlress Ctly ZiP P�one <br />owner <br />Apo�¢an1 MaiOnB�tlEress C�ly 2iP P�one <br />OescribeP�opoSeJ\York 360sf Cedmom s bnth addition to SFR <br />Project AtlEressld knownl <br />Alixch lour �4) co0�es ol plans br pro0osetl worh � Drnw to sw�? and note iM1e I011owinB �5 appl¢able�. <br />• Propetly Llnes • Cenletline o1 sbeet <br />• Ou�line anA Oimens�ons al all ex�sling and • InCicate Nur�h <br />p�onosetl slmclwes on I�e lot • S�nw any pmposed grading cnanpes <br />• E.�sting anU pm0osed utililies • Show measwemenis <br />PEPMIT CONDITIONS <br />1. All cells �a� inSPectlon Sball be maEB 24 �i3. ln aevanCO � Phone'2$4�•88i �. <br />2. All work ahall bo pedormed in acrorEance wit� this permit and currenl City ol Everetl Desiqn anE Constrvction <br />SlanaarEs enA Specifiwtions. <br />3. Cell Locafion UnEerproun0 Service 48 hra belore you dig. TOLL FREE NUMBEfl 1•800�424•5555. <br />/��./_c., r. . �/� �,�.�,. .7 �(/rT` ,E'��.��,�: a, <br />.7� b' <br />'%�/3- %Z <br />APomvea lor Constmcl�on Date <br />FINA� INSPECTION Date <br />APmoved as Lonstmded <br />�PUBLICWORKSOEPAfiTMENT <br />9100Ce0ar5Vee1 <br />Evemil WA 98201 <br />G�one: 25B-B810 <br />AGKNOWLEOGEMENT OF GONDITIONS <br />W <br />H <br />� <br />� <br />� <br />•J <br />Z <br />O <br />,rA <br />V+ <br />O <br />a <br />T�e onticrsigned owner/appbcanl hereby agrecs b holtl and save harm� <br />IC55 IM1C Cily ol Cverett Irom d�y dlld dll CIdITS lor aamages, costs. <br />C4pClISCS. O� CdIl5C5 OI dL�1011 Ibd� rtldy dliSE �ECd�SC O� ��SIdIId1i00 <br />A�4 RiOiOICfIdOC!` O� 1hE iTplOV¢rtICO� Of O�h¢f li8��'OI�WBy IISC M1¢fC1U <br />appliCO �0� dnd Iur�M1¢� dgrPCS b t9mOve SdmC UPOn notice liom I�e <br />C�ly antl lo reolace ou�bc pioDerly JamaBee I�ere�y. <br />Signaime ot AOF���enl Oale <br />WORK AUTHORIZEO BV THIS P[RMIT MUST 6E STARTE� \YITHIN <br />1B0 DAVS OF DATE PEFAl1T IS ISSUED AN� THEREAFTER IS TO <br />9E �ILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY 6E <br />CANLELLED BYTHE CITV UPON ANYSTOPPAGE OF WORKON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />