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/ <br /> � APPlication For 2'S-98 <br /> PUBLIC WflRKS PERMIT Date <br /> PUBLIC WORKS DEPARTMENT Public Works Permit tl �`� O� <br /> 3200 Cedar Street <br /> Everett,WA98201 259-8810 guilding Permit N 57835 _ <br /> TO POSTING MAR�1Q4Q � <br /> NPE OR PRINT ONLY Public Works Fee$ ZD _ <br /> Dick Lachapelle 6708 187th Ave SE Snohomish 98290 360 568 'L203 _ <br /> Owner Mailing Address City Zip Phone <br /> Contact: Shaun McGarry 425 337-3305 <br /> Applicant Mailing Address Cily Zip Phone <br /> Describe Proposed Work _ new house 1 1 1 <br /> Ii1 <br /> � <br /> � <br /> {;=�:��-"8 i.1:13Ai1 � <br /> PROJECT ADDRESS(ifknown) _ 1201 44th St 3E I! �7335 � <br /> c�I�iLil 1G18.75 <br /> Attach four(4)copies of plans for proposed work-Draw lo scale and note the following if applicable: �'i �ME �`F•�,�� o <br /> •Property Lines °Outline and dimensions ot all existing and proposed simctures nn the lot •F�cisting ar�l,p�oposed util�t�s�,� <br /> •Centerline of sireet •Indicate North •Show any proposed greding changes •Show measuremeqtsty[- p,'�p � <br /> DO NOT WRITE BELOW THIS LIME `'�"�" . " "° <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_'pf Eyerett,D�s�fi;and � <br /> Construction Standards�nd Specifications. "�"- ``�``"" _ <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555i�'= ` - �' <br /> L ;i Oi?y r'_c <br /> " I� �iGs�✓I eU� YZ7o��b� Y'�N�C�Y�u�✓I4c��s 7� 5�0�2 S ewP�.! � <br /> J � <br />� � S i c% s2w�r ��✓ �' -�� ��o I � <br /> y�(�;,� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> n The undersigned ownedapplicant hereby agrees to hold and save harmless <br /> /��A� �j,� ��//�g — the City of Evereit from any and all claims(or damages,costs,expenses,or <br /> � a "� causes of aclion that may arise because of installation and maintenance of <br /> Appovedfor onstrucf Date theimprovementorolherright-af-v:ayuseheretoappliedforandlurlheragrees <br /> � to remove same upon notice fmm the Ciry and to ieplace public nroperty <br /> ��/ '� �f � j�' damaged thereby. <br /> `G• <br /> FINAL INSPECTION Date <br /> Approved as Consimcted � �Q C G p <br /> � SZ <br /> nature of Ap licant Date <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 /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURA?ION. <br /> � <br /> .. �.r . . . , . _ _ _. _ .. . .. .. . . . � . <br /> .. . . - - . .___ ._._ _. _ <br /> .,q�. .. . . - <br /> ���',",�. . . - . �.., � . . . . <br /> � <br /> � , - --.r ._ . �-, . .. . , . <br /> . ����_�1 � r ' ` � '.. . <br /> .. �- [�;'< � �5'�y�. .v �� ` , <br /> s <br /> .: � ;� .... _....��vres�.,_�"-Y�..�'"'�,�`t��.�1 z,�.ti. _i. . _ .. _. _,._�_._, <br />