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If <br /> i <br /> 7/15/91 amr,woasve�.riu �c G� / <br /> Da4e_� ee�voao�.� ?1/2733 _ <br /> Application For <br />� PUBLIC WORKS PERMIT P�olitWorkafee $ <br /> Total Fee <br /> Lnae AODt Fee Paid $ <br /> TO POSTING_?-� BJanceDue : 5G��z <br /> Print or Type O���Y <br />. Palisade Properties 620 SE Bverett Mall Way Everett 98208 ZfP 355-8220 <br /> City Phone <br /> �W�ef Mai4ing Address <br /> Dykeman Architects 1602 Hewitt Ave 11400 259-31G1 E�t. 3761 (Scnct Kirkland) _ <br /> ���Y ZiP Phene <br /> ApplicaM Mailing Address <br /> Describe Proposed Work _ 348 sf addition 1488 sf alteration <br /> _—' ''�f,��7. Y;} " . <br /> �Y.,.,�.ur� � � I <br /> _..,. _ "__ = D .-1 � <br /> Prolect Address(if known) -�, �r.;;� „, .5^ — <br /> Attach four(4) copies of plans for proposed work- Draw to scale and note lhe tollowing as 3pplicable:�.-�7,�,�J,�.`." � <br /> • PropeAY Linas � Centerline of street ,,.:.. .,;j _ �� <br /> • Indicate North <br /> • Outline and dimensions of ell existing and � Show any proposed grading-changes -•�'�� • �` <br /> proposed structures on the lot � Show measurements . «_ ._ .'�'`��'�'' M <br /> • Existing and proposed utilities _ - W <br /> DO NOT WRITE BELOW THIS LINE O <br /> � PERMITCONDITIONS � <br /> � 1.All calls for inspection shall be made 24 hrs.in advance•phone 259•8870. <br /> � 2.All work shall be peAormed in ecr.ordance with this permil and current Ciry of Everett Design and Co�slruction <br /> Stendards and Specifications. � <br /> � 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBEP 1-800-424•5555. <br /> � .Sf�� LUOZ�� .fo �1e C�vnei �QFie.. ,��2,+v- ��.c2•,=� O <br /> �s F�� ��� �� a>,. 3-Z�-P2 . <br /> �s- � �M,�.,.� .a��� ��,�.�t ,�� .��� F- <br /> ��P� �k„� ,� �� m�/� w�.�G ���- -� �- V� <br /> P�,,�� .�u.�. ��.�, �r�y�y � � ����. �� � <br /> � � ��� �� ��.� d�K�Y a <br /> � a ����d�. ' <br /> ACKNOWLEDGEMENT OF CONDITIONS � <br /> The undersigned owner/applicant hereby agrees to hold and save harm� ; <br /> less the Clty ot Everett from any and all claims for damages, co.ts, I <br /> expenses, or causes ot action that may arise because ot installation <br /> �/��� 3 � -7 qz and maintenance of the improvemenl or other right-of-way use hereto <br /> S � applied for and furiher agrees to remove same upon notice irom the <br /> D le City and to replace public properry damaged lhereby. <br /> Approve Co ruction / ,1 <br /> ��i/� �' .� /�--/7� �� �G• <br /> INAL INSPECTI Date Date <br /> i atur of Appl c n <br /> Approved as Constructed y�RK AUTHORIZED BY THIS-P RMIT MUST BE STARTED WITHIN <br /> � PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERNIT I6 ISSUED AND THEREAFTER IS TO <br /> 3200 Cedar Streel BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everet4 WA 982a� PROJECT OVER 90 DAYS DUR 7 ON.STOPPAGE OF WORK ON THI� <br /> Phone:259•8810 <br />