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TYPE OR PRINT ONLY <br />ApDlication For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Sheet <br />Everett, WA98201 259•8810 <br />TQ P�JSTING N0� 1$ �ss� <br />Date 2-11-97 <br />Public Works Permit # ��� <br />Builtling Permit N 54200 <br />Public Works Fee $ /�� r <br />Barnett Builders PO Box 93 Mukilteo 98275 348-5410 <br />Owner Mailing Address City Zip Phor a <br />Owner <br />Applicanl Melling Address City Zip Phone <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />5738 Sound Ave <br />,., <br />Atlach tour (4) copies of plans for pmposed work - Draw to scale and note ihe following if applicable: �"- � � '��� ���' <br />•Property Lines 'Outline and dimensions of all oxisting and pmposed structures on the bt •Existing and proposed utilities <br />•Centedine of street •Indicate North •Show any proposed grading changes •Show measurements ���_ - <br />DO NOT WRITE BELOW THIS LINE __ ,,,; <br />PERMIT CONDITIONS: -� ` ' <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. ��, °�', � <br />2. All work shall be performed in accordance with this permit and current City of Everett Desigirand <br />Construction Standards and Specifications. � ' ` ' <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBC-ii`1-600-424-5555. <br />�� T h� lrH.e d�;hGyc��ia�iv�/ d�ti,�� c!�'N�/�: <br />�� h�-k � �F lv� <br />� <br />O <br />� <br />� <br />O <br />a <br />ACKNOWLEDGEME�T OF CONDITICNS <br />The undersigned owner/applicant hereby agrees to hold and save ha�nless <br />the City of Everett from any and all clalms for damages, costs, expenses, or <br />causes o1 action that may arise because of installation and maintenance of <br />ihe improvement or other right-ol-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public property <br />�dama ed thereby. <br />��'' 3 � � <br />' nature o Ap . ate <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br />COMPLEfION. THIS PERMIT MAY BE CANCELLED 8Y THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAY$ DURATION. <br />