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� =- "�6- q� <br /> 5-F4-93 TO POSTING__/D�'12�_ ,,,, „,o,,,,.,m,,. �� �z as <br /> Date_— <br /> o��oso�• 40684 <br /> ApPlica�lon Foi <br /> PUBLIC WORKS PERMIT '°°,ow�.;"` _ <br /> �..,��o�.<,P.,,s <br /> e,m�oso�� S zn�- <br /> Print or Type Only <br /> Roger Thorinson 2601 Oakes Evecett 98201 259_1138 _ <br /> Owner Mailing Address Clty Zip Phone <br /> Viking Conetruction PO 0ox 7340 Everet[ 98201 259-7250 _ <br /> Appli�ant MaJin9Atltl�ess Gly Zip Phone <br /> D�svibePmvosea wark Addn of 2nd unit wi[h addn to existine unit _ <br /> W <br /> ProlectAddresslilknownl 1910 26[h S[ � <br /> Attach lour�4�copies ol plans br proposetl woik�Draw to scale and no�e lhe foliowin�as app��cable'. � <br /> •P�operty Lines !Cenledine oi sbeet /A <br /> •Outline antl dimensions oi all e�is�ing anC •Indicate NortO V� <br /> proposeE slmcWres on Oie lol •S�ow any propose0 graGing chanqes <br /> • E.i56n9 anE pmposed ulilities •Show mex5uremeNs M <br /> W <br /> DO NOT WRITE BELOW THIS IINE O <br /> PERMIT CONDITIONS <br /> 1.All calls lor inspeclian shall be made 24 hrs.in aEranca�phona 259•8810. � <br /> 2.All work shall 6e pertormetl in eccordance wilh Ihis permit and current City ot Evereti Oesign antl Consimction <br /> Standards antl Specilica�ions. <br /> 3.CaIILocalionUnderBrounOService48�rs.beloreyoutlig.TOLLFREENUM8ER7•800�4245555. � <br /> O <br /> � <br /> N <br /> O <br /> a <br /> ACKNOWLEDGEMENTOFCONDITIONS <br /> �� T�e unCei5i9ne4 ownepapClicanl hereby ag�E85�o h010 and sBv¢harm� <br /> less ine City ol Everett Imm any anC all claims �or Cama9es. costs, <br /> � eepenses. or wuses ol action �hal may arise because o� ��slallalion <br /> ``� ��j� _ `��/�� anC maintenTnce ol t0e Improvemenl or o�her rig�Pol�way u5e hereln ' <br /> � V' applied lor antl lurlher agrees b remova sama upon notice imm Ihe <br /> Approvetl lor COnslmtil � e City dnE to tCplace pu�bc properly tlumag¢tl�heroby. <br /> � �� <br /> _ 'ic�� c ,�-:s Qi�/.[,c.�.-- G�aZ � 93 <br /> �� <br /> FINAL INSPECTION Date <br /> ApprOv8da5C0�5�fut�¢d Signa�ur¢ ppliWni ���� <br /> � PUBLIC WORKS DEPAflTMENT WOPK AUTHORIZED BY THIS PERMIT MUST BE $TARTED WITHIN <br /> 1B0 �AYS(1F DnTE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CetlarSireel BE DILIGENTLY PURSUED TO COMPLETION.7HIS PERMIT MAV BE <br /> Everelt,WA 98201 CANCEI.LEO BY THE CITY UPON PNY$TOPPAGE OF WORK ON TNIS <br /> Phona:259�8810 PR(1,IECT OVER 90 DAYS DURATION. <br />