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.-y / <br /> � r . <br /> Application For <br /> PUBLIC WORKS PERMIT ���-- 9-4-98 <br /> , <br /> PUBLIC WORKS DEPARTMENT publi�Works Pertnrt k ��S <br /> 3200 Cedar Street ;y� <br /> Everett.WA 98201 259-8870 7. <br /> ;� POSTING �..�aor. B°��PB'R'"« 60131 <br /> TYPE OR PRINT ONLY P�blic 1(Iforks Fee S �� <br /> x_. r i�, o : ,^� �u �.� -,� o o c � . <br /> � �o ��..i :� � �;; � :> �n a � :n . � <br /> -�..� - - :i� „ r<, � . <br /> REMODELING MAGIC 9929 31ST AVFi�S� Ub`�ERETT� 98208'! ��Z���38��779 <br /> Owner Mailing Address • � Ciry � ' Zip �,� , , phone <br /> i,:� . <br /> ,�. <br /> OWNER _;. _� �, �' <br /> Applicant Mailing Address � � � �� . G '- " ' '-21 . <br /> �. � ,� i,i ,. �Y .r :� .� P Phone <br /> . s,.� . . u .-_. m .,, . , f,:. <br /> Describe Proposed Work NEk' HOUSE � <br /> � i <br /> � <br /> PROJECT ADDRESS (if known) � � LOT 8 SF 118-98 � <br /> Atlach four(4)copies of plans for proposed werk-Draw to scale and note the following N applicable: . � <br /> •Property Lines �putline and dimensions of all existinp and proposed structures on the lot •Fxisling end pmposed utilities O <br /> 'Centerline of street •Ind:cate Nonh 5how any proposed grading changes •Show measurements . � � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � I <br /> 1.All calls for inspection :;hall be made 24 hours in advance- phone 259-8810. <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and O <br /> Construction Standards and Specifications. <br /> 3. Cali Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4245555. � <br /> �' CtCvl N�CL� l/A���;�/J �L✓I A� � 5 i I C Se�.•-C'r. � <br /> S. S;��e seU-�- p�- sfd ��(u•r -�Gc� � <br /> � � � `° ,I� � I (1 � <br /> �.� ► � w a <br /> ��-�,. � , ,� � /� � �,ou s� <br /> ��w � J � �'"`� �� ,l s� rG S � �K � l P <br /> � e 'N � C`! sr v `� � �R5 <br /> o� ��. <br /> �,� �1d� ��� <br /> ACKNOWLEDGEMENT OF CONDf110NS <br /> The undereigned owner/appiicant hereby egrees to hold and save hartnless <br /> � C ( �� the City ol Everetl hom any and all claims}or damages,costs,expensea,w <br /> Appmved(or Con ction Dat �uses of action that may arise because of installation and maintenence of <br /> the improvement or other rigM-of-way use hereto applied forand lurther aprees <br /> %- / ^� to remove same upon noNce trom the City and to replxe public property <br /> d —oZ � "f� damagedthereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> ��i 7�-�.�T,.-,., 4-.Z� �S� <br /> Signature of icant pef� <br /> WORK AUTHORIZED BY TY.IS PERMIT MUST BE STAHTED WI7HIN iB0 DAYS OF DATE PERMfT IS ISSUED AND THEREAFTER IS TO BE DILIG Y PURSUED TO <br /> COMPLEfION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 DAYS DUpqTlO <br />