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Date 11/14/85 I PypLc Work:Pcrmil a <br /> ApplicationFor BIdg.Dept• A5,/15579 <br /> PUBLIC WORKS PERMIT PubTo�FeoFee $ <br /> Less Appl Foe Paltl g <br /> Balanw Due S <br /> Print or Type Only <br /> Weston Williams 2118 46th Street Everett 98201 259-0737 <br /> Ow�ner Mailing Address Ci�y Zip Phone <br /> Northsound Builders 9208 Smokey Point Blvd. 98270 653-2512 <br /> ApF�licant Mailing Address City Zip Phone <br /> 14'4"x20' Addition <br /> Describe Proposed Work –�--- <br /> uJ <br /> Project Address�if known) 2118 46th Street � <br /> Attach four(4) copies of pians for proposed'�•ork• Draw to scale and note the following as aFPlicable: �� <br /> • Properry Lines • Centerline of stre�t ,�/� <br /> • Outline and dimensions of all existing and • Indicate North �� <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing anc proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE � � <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hrs in advance- phone 259•881 5. � <br /> 2. All work shall be performed in accordance with this permit and current Ciry ot Everetl Design and Construction <br /> S�andards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig.TOLL FREE NUMBER 1•800•424-5555. � <br /> ,/�Q ��/<�C/� lG<��,C;•=S- ��,�f�/i frc�C:-;��% � <br /> �� ��//7�. � <br /> � <br /> 0 <br /> �. <br /> ACKNQWLEDGEMENT OF CONDITIONS <br /> The undersi�ned owner/applicant hereby agrees to hold and save harm- <br /> — less �he Ciry of Everett from any and all claims for damages, costs, <br /> expenses, or causes of action that may arise because of installation <br /> and maintenance of �he improvement or o�her righl-ot-way use hereto <br /> applied for and further ayrees to remove same upon notice irom thr, <br /> Approved for Conslruction Date Cily and to replace public property damaged thereby. <br /> FINAL INSPECTION Date � <br /> Approved as Constructed Signature of t,pplicam Date <br /> everetc PUBLIC WORKS DEPARTMENT WORK AUT'10RIZED BY '�HIS PERMIT Ml�S7 BE ST�RTED WITHIN <br /> ��G uHYS OF DATE PER1.11T IS ISSUED 4ND THEREAFTER IS TO <br /> � 3200 Cedar Street BE DILIGENTLY PUR�UED TO �OMPLET�nN. THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY S��PF�GE OF WORK ON THIS <br /> Phone: 259-8815 pROJECT O:'LR �b DAYS DUR�ATION. <br /> __ � <br />