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Date 6-11-93 � (� Z � �/� 'w � <br /> Z � h01it Warlu Pvmlt• • �r� <br /> Appl�atlonFor eiao.o.ot.• 4A992 <br /> PUBLIC WORKS PERMIT PuEI¢Work�Fee <br /> Tn p�STING «-�a-q3 TobIFN : <br /> Le���pP�Fae Paitl S <br /> P�Ir11 Of TypB Orlly e+�o�oo�e t 2�� <br /> Robert Schuchard 2529 Maple St Everett WA 98201 258-3156 <br /> Owner MailingAdd:ess Cit - <br /> Y . ZiP Phone - <br /> Owner , <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new house replacing existing <br /> (new addresa on 26th St) � <br /> Project Address(if known� 3�3 �Z�D� � � <br /> Attach four(4) copies ol plans for proposed work• Draw to scale and note Ihe following as applicable: � <br /> • Properry Lines • Centerline of street � <br /> • Out�ine and dimensions of all existing and • Indicate North <br /> proposed structures on the lot • Show any proposed greding changes <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> t.All calls for inspection shall be made 24 hrs.in advance-phone 259-8810. � i <br /> 2.All work shall be pedormed in accordance with this permit and current City of Everett Deaign and Conatruction �, <br /> Standards and Spedtfcat(ons. <br /> 3.Call Locetion Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•$00�4Q45555. � <br /> �, �kr�1M y �;� �w�r sha�� lz rc�laud � p�Pw�i Ir�rc� O <br /> � � <br /> � <br /> 0 <br /> � a <br /> � <br /> p � <br /> �ls ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm- <br /> n ��� less the City of Everett Irom any and all claims for damages, costs, <br /> ///����Q/�J/� """" nses, or causes of ection that may arise becauae of installation <br /> V� (/�'�'( �— 7—�'l? nd intenance of the improveme t or other right•�f•way use hereto . <br /> Appr ved for`�tion PPlie for an es t move same upon notice from the <br /> Date ity an to re lace public dama thare <br /> �- �---rs �-i3• 3'� <br /> FINAL INSPECTION Date � ' <br /> Approved as Constructed atur f pplicant <br /> Date <br /> PUBLIC WORKS DEPARTMEN'f WORK AUT RIZED BY THIS PERMIT MUST�BE STARTED WITHIN <br /> 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS �TO <br /> Everet4 WA 98201 BE DILIGENTLY PUFSUED TO COMPLETION.THIS PERMIT MAY BE ' <br />� Phone:259•8810 CANCEtLED BY THE CITY UPON ANY STOPPA6E OF WORK ON THIS <br /> IPROJECT OVEH 90 DAV9 DUAATION. � <br />