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� <br />� <br />TYPE OR PRINT ONLY <br />nvW�wtiuo For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street �y <br />Everett, WA98201 259-8810 f� '� 8[�YY� <br />TO POSTING <br />oate 2-22-99 <br />Public Works Pertntt A �l� <br />Building Permit N 61656 <br />, <br />Public Works Fee $ <br />Masaev Const Inc 5907 156th St SW Edmonds 98026 425-742-1377 <br />Owner Mailing Address City Zip Phone <br />Owner <br />Applicant Mailing Address City Zip <br />Desaibe Proposed Work <br />PROJECT ADDRESS (if known) <br />Rt RW <br />Lot 1 SP <br />Ariach tour (4) copies of plans tor proposed work - Draw to scale and note the following it applicable: <br />•Property Lines 'Outline and dimensions of all existing and proposed stnictures cn the lot •Ezisting and proposed utilities <br />J � <br />'Centerline of street •Indicate North •Show any proposed greding changes •Show measuremants <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be mzJe 24 hours in advance - phone 25� -8810. <br />2. All work shall be performed in ;�ccord-ence with this permit and current City of Everett Design and <br />Construction Standards and Specificstions. <br />3. Call Location Underground Service 48 his. before you dig. TOLL FREE NUMBER 1-800-4245555. <br />L}, Lj �{,.G dY7 i�ti�e 7� 5�2►' rte� M n-+enc�Jw� s o f <br />� n is �j R.� .G p� <br />�u� �%Z%`!� <br />� �-; :-;� <br />_,_�. __ <br />._ ... ���. . <br />, ._U�dG � . � . <br />".EI':{ E(!� ;. <br />;FCNG __ <br />'TVE _,..�.. <br />� c5 ?G.iC <br />�,.__:r�� �.�'i,j,�.il <br />�' 'J -" ' _ _' " . ,.... <br />\—J <br />� <br />� <br />� <br />a <br />�_' �� � _ _. .._ ... . <br />� O,CKMOWLEDGEMENT OF CONDITIONS <br />The undersigneJ ownedapplicant hereby agrees to hold and save hartnless <br />ihe City of Evereri from any and all claims for damages, wsts, expenses, or <br />causes of action that may arise because of installat(on and maintenance of <br />the impovement or other right•of-way use herato applied for and tuAf�er agrees <br />to remove same upon notice from the City ar�d to replace puWic property <br />damaged thereby. <br />, ��'�" - -____�� i�l�! G 3 I3 /99 <br />Sig ature of Appllcant ata <br />WORK AUTHORIZED BY THIS PERMIT MUST �E STARTED WITHIN 18U DAYS OF DATE PERMR IS ISSUED AND iHEREAFTER IS TO BE DIl1GEN1lN PURSUED TO <br />COMPLEf10N.1 Fi1S PERMIT MAY BE CANCELLt:D BY THE CITY UPON ANY STOPPAGE OF WOflK ON THIS PR0.IECT OVER 90 DAYS WRATION. <br />