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��� <br />A�x <br />�HxC~i� <br />HZ� <br />K n <br />Ox0 <br />htl M �+d <br />NM <br />t�O�OH <br />��g <br />(�] V � <br />9H� <br />y <br />t HH <br />� <br />�Cy <br />L�1 <br />H� <br />HO[n <br />� <br />i �� <br />Dale 8/15/91 <br />TO POSTING 3 zo <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />� <br />Vladimir Arieff `A257 College 6'ay W' Scattle <br />Owner •� � ! . Mmlinj�nddtess., - <br />Dale Johnson r��8509.6�22ni1:.$t��6i1� ldmnnds�� 98026 <br />Applicanl Mailin9 <br />% <br />Pu�bc \Vm\s Pe�mil • /,/ '� � / � <br />o a o p. 91 27547 <br />Cu01¢Wo�ASFca S <br />Toiai Fee <br />LessAppl FeoPm� $ <br />Ua�.anrr Oue S <br />1_i�. �C1 <br />3G1-4150 <br />Cily Zip Phonr <br />C�ty Zip Fhone <br />oescribe Proposed Work New home — 1147 sf living / 440 sf garage <br />Proiect Add�ess (il known) �31� Snmmi C <br />Altach lour (4) copies ot plans lor proposed work � Draw lo scnle and note 1he lollowing as applicable: <br />• Property Lines • Cenlerline of streel <br />• Outline and dimensions ol all ealsting antl • Indiwte Norih <br />proposed structures on �he lot • Show any proposed 9radin9 chan9es <br />• Exisiing , nd proposed utilities • Show measurements <br />a <br />PERMITCONDITIONS <br />t. All calls br inspection shall be matle 24 hrs. in sdvance- phone 259•8810. <br />2. All work shall be pedormed in accordance �vilh this permit and current Cily o� Evcrett Design and Construction <br />Standards and Specilications. <br />�3: Gall Locolion Underground Service 4H hrs. belore you diq. TOLL FREE NUMBER 1•800•424•5555. <br />\r � , <br />y, �/ /� i� >>r .:r ii�,r:, �r. �- . � � , :.� r '�.c o� - •, <br />�./ / l' �e�Y � ��i.'Sef - S�r,'< ! ��'•C': 3� ,Crit�:. <br />/ L! ,�ii1- %vul �i'.. 1-f'� /J i • 1� % <br />J i�v.� ����Ji Ct.>v..�Zr.iv f"f>CC. •.l�.r'+� Ct k't. /h t{-Clt. LL.nG K3�. v <br />-y,z«a/� y�, � / <br />.J �� �Jnt!<['-<:.'!� .'�lt( !L�/7"� ...SLLI+,r.�Vr�!lC.�-c: �hzs<�-f �c �1��.�•�:��-;•�.��/ <br />Q��a� : z�2-�a <<k:G .��<�i�-f��� �<.16 ��2� �%� i��lc<�. <br />�<.,�f_,: �„��t<� ��- �-���,«���..�- . <br />i, ��.,+�il�e�< ��, S/�L�,ti O�ti =(%. <br />� �" .�-e.c�i r. •, e,f%'� .i'�l � �'- <br />ici. <br />� <br />.La'CL. ��Q'iL <br />' / i = /� �' <br />—/C//f�� :�"/1.�;''���"'Fc <br />'�� . :! 1��: . % 9��i��/ <br />AnProved lor Construc�tiyn / � Date <br />�\: l�/c'% = �- � ''"��� I z-- <br />p�--.- . Date <br />-iqpP�{ptl___ _ <br />�' PUBLIC WORKS �'..^^RTMENT <br />�3200 Cedar Slreel <br />Everetl,WA9P201 <br />Fhone 259�8�10 <br />, <br />�F•r�.ti: r - �:. <br />W <br />� <br />�w <br />_ / <br />Z <br />O <br />M ♦ <br />0 <br />��toY� , ,:��,��ri � <br />e�����` �,�.�>.1'i <br />�) Sl����E,— ,. _ � <br />ACKNOWLEDG� NT OF CONDITIONS <br />The undersigned owner/applicant hereby ac�rees to hold and snve harm� <br />less Ihe City ol Everetl from any and all claims for damages. cosls. <br />ezpenses, or causes ol actlon Ihat may arise because of installation <br />and mainlenancc ol Ihe improvement or other righbol-woy use hereto <br />applied br and fur�her agrees �o remove same upon no�ice iwm the <br />Cily and to replace public properry dama ihereby. <br />G�.�� � <br />uc cccvL ��!� - y'_ � '— <br />Signature ol Applicant Date � <br />WORK AUTNORIZ[D BY THIS PEFMR A1UST BE STARTED WITHIN <br />180 DAYS OF DAT[ PERM11IT IS ISSUED AND THEFEAFTER IS TO <br />BE DILIGENTLV PURSUED TO COAIPLETION. THIS PERMIT MAY BE <br />CANCELLED 6Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJ[CT OVER 90 DAYS DUR�TION. <br />