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_� <br /> � <br /> / <br /> � z� 90 TO POSTING. l_- ��-93 �„�,,�wo,,,P..m,. 90 ��� <br /> D^ele�-1 �,��o�o� . 90/25247 <br /> Applicahon Foi <br /> PUBLIC WORKS PERMIT "°°rae�F�:"° 5 — <br /> tess Aoo��n.Pa�n 5 - <br /> y�H� enia��Po�e 5 Z� ---- <br /> �9 y Print or Type Only <br /> p�H <br /> CH�" �� Robert 6 June Trosvig 5127 Seaview Way_ Everett "8203 355-4053 <br /> Fi Owner <br /> Mnlling AAtlress CdY ZiP Phone <br /> � H� <br /> O� HO,� O.mer _— -- <br /> [A�"� Applicant Mailin9 Address GJv Zip Phonc <br /> � �� Descr�be Pronosed Wo�k New sin le famil residence <br /> OH <br /> � �8 ---- <br /> c�� o � <br /> �> y� <br /> r ~y t��n s'7 r k n � I <br /> t7 !/� Project Address P�knownl � <br /> M � <br /> n d❑y Attach lour(4)cop�es ot plans lor proposed work�Draw to scale and nole ihe�ollowing as apPlicabie. I <br /> � [+7� • ProOerty lmes • CeNerhne o�street � <br /> , y y • Ou�Gne an0 dimensions of all existing and • Indicate Norih '� <br /> y p p1 proposed 5trucWres o�the lot • Show any proposetl 9ratling chanyes <br /> • E.�s�ing and proposed utilities • Si',ow mcasurements M I <br /> W <br /> DO NOT WRITE BELOW THIS LINE O I <br /> i <br /> PERMITCONDI?IONS � i <br /> 1.All calls br inspection shall be made 24 hrs.in advance-phone 259•6810. <br /> 2.All work shall be pedormed in accordance with ihis permit and current City o�Eaerett Desiqn and ConsiruC�on <br /> �� Stardards and Specilications. � <br /> �� <br /> 3.Call Location Underground Service 48 hrs.belore you tlig.TOLL FREE NUMBER 1•800�424•$555. <br /> lf��� O <br /> I� = `I 2E✓/Siu �✓ ?ir �'G�° �Aut /hc/c[G <br /> �w <br /> � ' _I <br /> � O <br /> �!I 0. <br /> !('! � ACKNOWLEDC,EMENT OF CONDITIONS <br /> t �[� , ihe undersigned owneUapplmant hercUy ag�ees to hultl and save harm- <br /> . less the Qty ol Everetl trom any antl all cl�ims �or tlamaqes. costs. <br /> �= 7 "7,- y� eKpenses or causes o( action thal may anse �ecause of installation <br /> ���,� /1 e�� ^ �� 's_p� and maii.tenance ul the improvement or other righl-ol-way use hereto <br /> VVI �xn_ -� applw� �or and iwther a9rees lo remove same upon nobce hom the <br /> ,� Approved br GQ Irucl� � � ���0 City and Io�eplace pu6lic properry tlama9ed thereby. <br /> • / � � � J�'�� � � <br /> � <br /> �Z �/ <br /> �.Lc�—.� ' /L `!! <br /> PINAL MSPECT � j�'���/ ' ate <br /> ApproveA as C �s1�4�Q� - � i/,i9� S�9nature ol Apphcant <br /> ����i.�� pU�LICWORKSDEPARTMENT <br /> / ,� r 60RDAYSTOF OA7E� PERM TSISEISSU[D AND I1ER AFTER IS TIO <br /> � 32o0Cedar Street BE DIUGENTLY PURSU[CJ 10 COMPLETION. THIS PERMIT h1AY BE <br /> Everet6 WA 98201 (;ANCLLL[D�Y THF.GTY UPON AN1'STOPPAGE OF WO�K nN THIS <br /> Phonc:259�8(310 PHOJ[CT OVEfi 90 DAYS DURATION. <br />