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NPE OR Pi;INT ONLY <br />AppNcadon Fu <br />PUBLIC WORKS PERMIT <br />rueuc woRKs oePnarTneNr <br />3xoo c.der seroe� <br />Eveiatt, WA 9820/ 259-8810 <br />TO POSTING auc� �`—'` <br />oate 2'6'98 <br />P�mw uro�s PeRnn « ��0�' <br />Building Perinit M __�„�841 <br />Pubilc Works Fee S _ � <br />Elsie Hanson 5525 Glenwood Ave Everett WA 98203 355-3212 <br />pwner Mailing Address Ctty ?ip Phone <br />/ <br />7 Lakes Const Ted or Sandy 360 653-7202 <br />Appikant Meiling Addtess Ciry Zip Phone ^� <br />Describe Proposed Work <br />to make <br />-._ .: '�i:`_an�9 <br />1L:.L: a S.J. .�. <br />PROJECTADDRESS (if known) 5525 wood Ave '��'� = <br />--�-"-"G <br />Attxh four (4) wpies of plane tor proposed work - Draw to scale and note the following H applicable: '� <br />�property lJnes 'OutNrre and dimens(ons of all existlng end proposed struclures on the bt "Existing a�pr6 <br />'Centerlfne of street Nndicate North 5h�w any proposed greCing changes 5how measurertiel+4s�= <br />: ,-. <br />r+.,V4 <br />: �.�'4� <br />f utdmes'; <br />.�?c.G"v <br />�::��•, _ -.. <br />PERMIT CONDITIONS: z' C�'�l�c <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 pertnit and current City of Everett Design and <br />Construction Standards and Specificatfons. <br />3. Call Loc�.tion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4245555. <br />4. Vp9ra�e �kcr scv-v��e � z. w«�,re� sar��e.. <br />s. �P�y��. .s� de �,.,�� ���� P,.� �� v►�.•se ���c�'1 ti��o� <br />(p, �°v� sloPes wtus� ►�c, a�2���c b�k � z. 2H :1Y s',t�.. <br />�'RYiOh Go�'�1 me�5v*�ed wt�Si bG, prbv�ded � w�z►n�z.inui <br />{���1n� d���� on o-� -�h2 �� �I;a w�o�c '�✓15�-�r <br />� <br />� <br />� <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to Mld and save harmless <br />the Ciry of Everett hom any and a�� claims for damages, costs, expenses, or <br />c: �. e� ^� ot action that may arise bacause of installatbn and maintenance of <br />thn improvement or other right-of-way use hereto applied for and further egrees <br />tr, rem����e same upon notice from the City and to reolace public property <br />namao-ed thereby. <br />Sign�.A ��'IM/K -1 i �� <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PUflSUED TO <br />COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK �Nl THIS PROJECT OVER 90 DAYS WRATION. <br />