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i <br /> �P�����o�Foa� POSTING —_---- i—zz-9� <br /> PllBLIC WORKS PERMIT Date <br /> ��„ � '- PUBLIC WORKS DEF'=.P.TMENT Public Works Permil N =1-1 �-3 I ��— � <br /> 3200 Cedar Sln.-at <br /> Everett,WP.98201 259-8810 Building Pertnit 8 54023 ,i <br /> i <br /> IYPE OR PRINT ONLY Public Works Fee$�r_ <br /> Loren Dorrah 2820 S Lincoln Way Lynnwood 98036 787-6700 pnone I <br /> Owner <br /> Mailing Address Ciry Zip <br /> Curt Johnson 337-4733 phone <br /> Applicant Mailing Address ��»' Z�P <br /> new �waer � °i� W <br /> Describe Proposed Wark__---�' <br /> � <br /> � <br /> v/ <br /> I�.21 �Q� ��'�j�l/(�,k..'� Lot 6 BSP A3-96 M <br /> PROJECT ADDRESS(if known) ��� <br /> Attach four(4)copies of plans for proposed work-Draw to scaie and note the tollowing N applicable: O <br /> •PropertY Lines 'Outlina and dimensions of all existirig and proposed structures on the lot •Existing and proposed utilities � <br /> �Centerline of street •Indicate NoAh 5how any proposed greding changes •Show measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMfT CONDITIONS: <br /> 1.All calis for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2.All work shall be perfnrmed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. � <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE MUMBER 1-800-4245555. <br /> �� �/� �GNi'o�PiS �`��� �Li ��✓�� "/�d �u�af' O <br /> �/ i �� �2/04/4; 9'OlP.hf �OC+`!9b F:�:- ; <br /> ��t �r�. / �.. j <br /> It00054�^c3 <br /> SLDG 91.034.50 <br /> FLF,� 3i54.00 <br /> MECH S1�O.D0 <br /> SRCNRG 45.50 I <br /> DRNW'J 4�O.OD I <br /> tt0�OC9262 i <br /> WpTER gI30.00 ! <br /> q000309'7:5 <br /> � SEWEF �70.�0 <br /> ✓ S`JSDEV S188k.00 <br /> b�_/ S`t5DEV $-�0•� NS <br /> AGKNOWLEDH� <br /> The undersigned owner/applic�q{,���Y a9 o Id and seve hartnless <br /> ' �� �� the City of Everett from any an�'SW ms fo e ,costs,expenses,or <br /> / � � -- causr•,of action that may aris�k�6se a6L'n3f� and maintenance oi <br /> App v rConstruction n �a theimprovementorotherrigM-ot-weyuseheretoapplied(orandiurtheragrees <br /> (6 to �emove same upon nolice from the City and to replace puWic propeAY <br /> G .... damaged thereby. <br /> FINAL INSPECTION Dat�� <br /> ,qpProved as Consir�ctei r b Y y � <br /> Signature ot pli nt <br /> Date <br /> COMPLETION.RTHIS P RMITSMAY BE ANCELLEDTBY THE CITY'UPON AN S�TO PACE OF WORK ON THIS PHOJETOER 90 DO B DURATION.Y PURSUE�TO <br />