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,.��� - .._ _ -- <br /> Date �'/S/94 � _ - ^ <br /> `cZ_ �' � f <br /> '�' � - -��i' �� ��.o�.ccrorvsvn i, -7 <br /> Application For N eio9 o�a� _ �����I--���1_ <br /> PUBLIC WORKS PEI�VIIT PublicWorksFec <br /> ¢ To���Fee s <br /> �'�STING g lessFool FeePaitl S <br /> lo-�3-��._._, <br /> Print or Type Only�o ' o � � u.,�,�«o��, s 7 S�7 0� <br /> � n� ao 0 <br /> '+� �N a <br /> N C•J {p <br /> Raintree Homes Inc 4023 108th St S� Evt��98�$" "` J'�5-3154 <br /> Owner Mailin,Address p.� � w �i�y �� <br /> � P Phone <br /> Dave Wheeler � o � � � <br /> Applicant Mailing Address City Zip Phone <br />� Describe Proposed Work L 6—Unit Condo <br /> � / �lP/ -te L'C�r' <br /> ProjeCtAddress�ifknown) 13�, 3VG�l StV^�'� � <br /> Attach fow(4) copies ol plans tor proposed work� Draw to scale and note [he following as applicable: � <br /> • Pronerty Lines � <br /> • Centerline of slreet � <br /> • Outline an�f dimensions ol all existing and • Indicate North <br /> proposed strucWres on the lot • Show any proposed gradinc� chanyes <br /> • Existin� and proposed utilities O Show measuremenls <br /> DO NOT WRITE BELOW THIS IINE � <br /> PERMIT CONDITIONS � <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259-8810. <br /> 2.All work shall be performed in accnrdance with ihis permit and current City of Evereh Design and Construction � <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-$00-424•5555. <br /> �� � ��/�'�� �,�s �r� G �3 -9 5� � <br /> � <br /> � <br /> � <br /> � <br /> � <br /> ACKNOWLEDGEMENT OF GONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> - less the Ciry ol Everett irom any and all claims for damAges. costs. <br /> � ezpenses, or causes of action that may arise because of installation <br /> ' �_ � ' • E and maintenance ol ihe improvement or other right-of-way use hereto <br /> A��ved lo��6nst ction applied for and (y rther agrees !o remove same upon notice from the <br /> �� Da( City and to repl�c�e public prope �damaged Ihereby. <br /> C � )��' / � <br /> �, 1 <br /> -_ c� �_----_ �-// �1' / // / C/�j <br /> FINP.L INSPECTION Date _�/�(� ��� \ .��``'" "' U" -��J/ <br /> Approved as Construded Si naWre ot Anplicant Date <br /> PUBLIC WORKS DEPARTMENT WUMh AU7HURIZED BY THIS PERMIT MUST BE STAR7ED WITHIN <br /> 3200CedarStreet 180 DAi'S �7F DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everetl,WA 96201 fir DILIGENTLY' PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259-8810 CANCELLED dY THE CITY UPON ANY STOPPAGE OF WGRK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br /> . . I , � . .. � _. . . <br /> i ,� . . . . _. . ;. �... . � . . <br /> :.,,.: ' � . _l �".y»,.��r`,/��ar� w"ecyi ;�ya 7 r , y� ' _ <br />�/ '..y� f-'..,..:r..++RPav3'"'hy�k'�"� _._i ' .. � ': . ��•—y -�a�ex�^"""i�'C ' � i'�� c._a . '� �f� �.„.�'� . . . .���3� ' <br /> � .. . .. _ _. .. . . . � ...x . . _ x.__. -._. .. <br />