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-_ � 20� 29� S ,-, <br /> �8t6 ���? PuElic Works Permlt• <br /> ApplicetionFor eiaq.oao�.• 35753 <br /> PUBLIC WORK� PERMIT Pu011cWarkeFee <br /> Totel Fee S <br /> Leae AOV�Fea PeiC 5 <br /> Print or Type Only ea�.��Bo�< a <br /> Robin Baxter 2908 - 25th St Everett 98201 252-2674 <br /> Owner MaiHng Address City Zip Phone <br /> JOHNCO 1103 Av H Snohomish 98290 568-8760 <br /> � Appl(cant Meilfn{�Addreas City Zip Phone ' <br /> � Deacribe Proposed Work Addition (qaraqe/dinette/utilitv) & deck <br /> W <br /> Project Addreas(if known) 2908 — 25th St. � <br /> � Attach four(4)copies of plans for proposed work- Draw to scale and note the following as applicable: � <br /> � • Property Linea • Centedine of street � <br /> � • Outline end dimensions of ell existing and • Indicate North <br /> - � proposed structurea on the lot • Show any proposed grading changes <br /> � • Existing end proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CANDITIONS <br /> . 1.Ail calls for Inspection shell be made 24 hrs.in edvance-phone 253-8810. � <br /> � 2.��II work ahell be purformed in accordence with this permit and current Gty af Everett Desfgn and Construction <br /> . Stendarda and Specificatlona. <br /> . 3.Call Locetion Underground Service 48 hra be!-�e you dig.TOLL FNEE NUMBEN 1•800-4245555. � <br /> J,U�.cc ui�� �C�...�`/�b�`/�� O <br /> � ✓ � <br /> ��7� � <br /> O <br /> a <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees lo hold and save harm- <br /> less ihe City of Everett from any and all claims for damages, costs, <br /> � expenses, or causes of action that may arise because of installetion <br /> . and maintenance of the improvement or other right-of•way use herato <br /> applied for and further agrees to remove same upon notice irom ihe <br /> ApDroved 1or Consiructlon Date City and to replace public property dama�ed thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructod Signature of ApG��cant Date <br /> � PUBLICWORKSDEPARTMENT WOHK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CederStreet 780 DAYS OF L�ATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:25&8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />