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_ <br /> u L� <br /> � �P�i�on For 3-18-97 <br /> PI�BLIC WORKS PERMIT Date <br /> �o P�5��N� Pl�8Ll3�RIEb DEPAATMENT Publi�Works Permit k _��,�� <br /> WD . g �9 C�r Sireet <br /> '�'''�'i'�eretl,WA 98�1 259-8810 Building Permit q 54551 �, <br /> x � � g � g M g g g � biic Works Fee$ GC� ' <br /> NPE OR PRINT ONLY a . <br /> d � � � � f� � �� « � <br /> Dennis Maher PO Box 1824 Ev ett 98206 2 -6�16 •` <br /> Owner Mailing Address i ,,,� ZI Phone <br /> �\ Ss3 �'S �� �� � P <br /> R & B Const Bill Lucae '�2- <br /> Applicant Mailing Address ^ity Zip Phone <br /> Describe Proposed Work _ new house (replacing demo'd house) � <br /> � <br /> — ♦/� <br /> l3 I2 Z �� Sf. �� <br /> PROJ�CT ADDRESS(if known) _ � <br /> Apach four(4)copies of plans b�r proposed work-Draw to scale and note the followin�if applicable: O <br /> •Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br /> •Cenlerline ot street •Intlicate North •Show ary proposed grading chan3es •Show measuroments � <br /> DO NOT VVP.ITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. p� <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and [ ' <br /> Construction Standards and Specifications. �� <br /> 3. Call Location Underyround Service 4b hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> � �mr���� f^�e��� iv.� �F � 5,de- se�r— � <br /> ��r+ S-F, l( .�zsc•l� i��x+�e-,� Y� ���P vH S;�Sc�.ti� � <br /> a <br /> ,' � ACKNOWLEDGEMENTOFCONUITIONS <br /> /�� " �^ The undersigned owner/applican:hereby agrees to hold and save harmless <br /> ,�, / the CiTy of Everett from any and eJt claims for damages,costs,expenses,or <br /> A proved for C truction p �e causes of action that may anse because of installation and maintenance ot <br /> i the improvement or other right-of-way use hereto apolied tor and further agrees <br /> � > ��"� to remove same upon notice trom the City and to replace public property <br /> � � �� �'//�'� dan.�g by. <br /> • INAL INSPECTION Date �_ <br /> Approved as Constvcted Y�a�y� <br /> gnature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILI�ENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CAN�ELLED BY THE CI7Y UPON AWY STOPPACc OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />