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Tw ww PTI11P'a � •�,� _ <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />rParatlrant <br />oAn4 1QrAva SE <br />Attacli four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: <br />eFroperty Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />'Centerline of street •indicate North •Show any proposed grading changes *Show measurements <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed 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 NUMBER 1-SW424-5555. <br />�. %,&r a o� d 14v/ayrJ el� le-z 3 - Z-5= 97 <br />App&ort Data <br />FINAL INSPECTION Date <br />Approved as Constructed <br />W <br />1� <br />ca <br />O <br />z <br />O <br />CA <br />O <br />no <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of installation and maintenance of <br />the Improvement or other right-of-way use hereto applied for and fuller agrees <br />to remove same upon noticyAym the City and to replace public property <br />damaged thereby. . <br />WORK AUTHORIZED BY THIS PEr1MIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER t§TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE crTY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />