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ry� . i <br /> Date 3-11-92 1c� '�OSTING �'���� I� ��y,�� publicWorksPermitr �� ��/ <br /> Applica2ionFor T� p������ .� BItlg.Deo�.M 35927 <br /> PUBLIC WOFiKS PERIVAIT PUbToIalPeeFea s -- <br /> Less NpO�-Fae Paia S <br /> O <br /> � � BalanceDue $ ��� <br /> Print or Type Only � � � <br /> ' ,;, <br /> MASON, BRAD 12828 'BEVERLY PARK RD ' ' MOKILTEO WA 98275 742-8507 <br /> Owner Mai4ing Address; � : � ' Clt��.��� ' � � � ' �?ip Phone <br /> . . , . , � i•�� . � <br /> CURT JOHNSON � 337-4733 MOBILE 348-1510 <br /> Applicant Mailing Address Cily Zip Phone <br /> Describe Proposecl Work NEW CONSTRUCTION DUPLEX <br /> �+ W <br /> Project Address(if known) �2��� ry � � � ��f/A✓�•`�' F' � <br /> Attach four(4) copies of plans tor proposed work• Drari to scale and note ihe following as applicable: � <br /> • Property Lines • Centerline of street � <br /> • Outline and dimensions of all existing and • Indicate Norih <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilitiesJ • Show measuremenfc � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calis for inspection shall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall be peAormed in accordance with this permit and current City of Evere�t Design and Construction <br /> Stendards and Specifications. <br /> 3.Call Locatinn Undergrr,und Service 48 hrs.before you dig.TOLL FREE NUMBER 1•SQO•424•5555. � <br /> /� �S/�/ �OG[� - 70/' Uf/'e� lU/C7�nN/i7q /��liS'f !JC O <br /> 4/XO� �rs ���.� d�°�iCa7�ec� (v f/,�/ ���y . �.. <br /> ��i, '/�¢�' St�e�f" C Cc.�n a7< <zlL 7`�rneS � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> 1 he undersigned owner;applicant hereby agrees to hold and save harm- <br /> less the City of Everett trom any and all claims for damages, custs, <br /> erpenses, or causes of action that may arise because of installation <br /> � - ��s o o and maintenance of lhe improvement or other right-of-way use hereto <br /> _�Ofl�a' � ZZ/�G applied for and further agrees to remove same upon .iohce from the <br />� Approved Construction Date City and to replace public properry damaged thereby. <br /> f�� <br /> INAL PECTION ..3��/�x��yZ� Date — <br /> proved as Consiructed SignaWr o ApPlicznt Date <br /> WORK AU HORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> %ArI� ?UBUCWORKSOEPAF,TMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEPEAFTER IS TO <br /> 3200CedarStreet BE DILIGENTLY PURSUED TO COMPLETION. TH�S PERMIT MAY BE <br /> Everott,WA 98201 CANCELI.ED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:25�J-8810 PROJECT OVEti 90 DAYS DURATION. <br />