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� fr'] H <br />� Carl � <br />L7 '�9 x <br />C F+ <br />9 H V� <br />y <br />K n <br />H� <br />�1�-ihC <br />Hy <br />z <br />O � d <br />H�8 <br />�� n <br />ay� <br />rHH <br />g�' <br />H <br />c�CCcn <br />h7 <br />HO� <br />►- <br />=e <br />Date_7113/.92 `� —I"^�y� <br />ApplicatiDn For <br />PUaLI� WC9RKS PERMIT <br />_ � <br />Print or Type OnryTo �+��T�r�� (-��_� 5 <br />/ <br />Z�ZC�s� <br />Puel4 Worka Permil � � <br />Biog Oeo1. • 37349 <br />vuohc wo,xa Gm <br />Tolaifnc S <br />�essnooi veeaa�n S <br />enia�rc �ue 5 ��� <br />Peggy Sue WAtson 8907 - 18th Ave W k7-204 69frdtilS�igt' �vcrett 35�-0212 <br />Owncr MailinqAddress Ciry Zip Phone <br />Gary Johnson EnCerprises 23417 - 32nd ave NE I�rlin9ton 935-9515 <br />Applicant �.�ading Address C�ty Z�p Phone <br />Describe Proposed W�rk <br />�11 - �'�+ PL S� <br />Proi«� Adtlre;s lil known) � <br />th P1 & <br />Attach lour 14) copies ol plans br propcsed woik - Draw to scalc antl note Ihe lollowine� as apUhrable'. <br />• Properry Lines <br />• Ou�lin� and dimcnsions ol ali exisling antl <br />proposed s�ruct�res on the lot <br />• [nisting and pr000seA utililies <br />• Centerline ol sireet <br />• Indicate North <br />• Show any proposed grading changes <br />• Show measurements <br />THIS LIN[ <br />PERMITCONDITIONS <br />t. All calls lor inspeclion shall Ue made 24 hrs. in advance � pnone 259•88t0. <br />2. All work shall be pertormed in accordance wilh this permit and current Ciry ol Everetl Desi�n and Construction <br />Standards and Specitications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-$00-424•5555. <br />����/// PUBUC W0f7K5 DEPARTMENT <br />9200CedarStreel <br />[vercll. WA 98201 <br />Vhcno'.259�881C <br />ACKNOWLEDGE�IENT OF CONDITIONS <br />W <br />� <br />_ / <br />�� <br />�w <br />� / <br />� <br />a <br />The untlersi9netl awneqappliCant hcreby ac�rees ta holtl and save hnnm <br />less Ihe City ot Everett frmn any antl all claims lor damages. cosls. <br />Cxpense�. cr causes OI aC�ion Iha� may ari5e bewuse ol in5�all;tlicn <br />and maintenance ol Ihe improvement or other righl-of��vny use herelo <br />applietl lor and lurlher agrees to remove same un��n nonr.c Irom the <br />City and to replace pu ic p o =ny damaged ihereby <br />Si�nat—� I. afrV Dan, __ <br />WORK AUTHO Z£D BV THIS PERMIT MUST �E START[D WI7HIN <br />1B0 DAYS OF AiE PERMIT IS ISSUE� AND TNEREAFTER IS TO <br />0E �ILIG[NTI.Y PURSUED TO COMPLETION. THIS PERMIT MAV 8G <br />CANGE�LLD BY THE GTY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT UVER 90 D�VS OUFATION. <br />