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r� <br /> 0 <br /> nvp�caeonFor v 3/23/98 <br /> � 'ca Date� — - <br /> PUBUC WORKS PERMIT �; <br /> PUBLIC WORKS DEPARTMENT Public Works PermN N <br /> 3200 Cedar Street � <br /> Everett,WA98201 259-8810 BuIIdln�ertnitA 58273 & 58274 <br /> TO POSTING FEB 01 2ou� / � <br /> TYPE OR PRINT ONLY Public Worl�s Fee$ ICO O3/ <br /> �ro [- n ro o c•d o � c� o n. o t+� n rn r.i o m �o o ro <br /> r_ c� m �r. roornoc- o �� r� ar� o [� ri -� oo� oo � <br /> .�N • L� . ti7 CJ [`- ll7 *'i v' i <br /> GAFFNEY / JOHN��1� tT'I��FAQ1"Ein��.i � p���'r� �� =i �5–�38-2114 <br /> Owner -i M ' gAddress ti City�� �;j ,,� Phone <br /> m <br /> �` r � cn <br /> ROSS JAMESON .�'j25� –2�3 ci :� c� n= <r_ �-+ � z ce � <br /> Appiicant '� M �4ddr65�s 3 = � � C�f! 3 3 �Pf= Phone <br /> ocm �naax u; e:. m [na � av: � a �. a.� oP^ <br /> Describe Proposed Work CONSTRUCT 2 NEW OFFICE BUILDINGS I � � <br /> iii <br /> � <br /> � <br /> � � <br /> PROJECTADDRESS(if known) IO��� 19TH AVENUE SE � <br /> Attach four(4)copies of plans for proposed work-Drew to scate and note the following it applicabl� <br /> 'Property L1nes 'Outline and dlmensions of all existing and proposed structures on tha lot •Ezisting and proposed utilities O <br /> 'Cenlerline of street •Indicate North 'Show any proposed greding changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2.All work shall be performed in accordance with this pertnit 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 NUMBEH 1-800-4245555. � <br /> ,4' � a,�o��,.o��,� c/a�a' s-/9- 9£, O <br /> a <br /> Se� ��505 -19�" i�v� S� <br /> �r PN6 ��� W��rs / (>� �� �;e� in�+��� . <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � The undersigned ownedapplicant hereby agrees to hold and save harmiecs <br /> the Clty of Everett from eny and all claims for damages,costs,ezpenses,ar <br /> ceuses of action that may erise because of Instellation and maintenance of <br /> App edfor on e�e �rye��p��torotherrightrof-wayuseharetoapplledforandfuAhetagrees <br /> . to remove same upon nottce from tha Cky and to replace public property <br /> o �� (f�y p damaged thereby. <br /> FINA INSP CT10N Date <br /> Approved as Constructed <br />� SI of Applica t Data <br /> WORK AUTHORIZED BY THIS PERMR MUST BE STAFTTED WffHIN 180 DAYS OF DATE P R IS ISSUED AND THEREAFTER I TO BE Y PURSUED TO <br /> CAMPLETI9N.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPFAGF WORK ON iHIS PROJECT OVER 90 DAYS WRATION. <br />