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PUBLIC WORKS PERMIT Date u 2/25/98 <br />PUBLIC WORKS DEPARTMENT Public Works Permit N <br />�e <br />3200 Cedar Street W Or <br />Everett, WA 98201 259-8810 Building P it N 58007 <br />ii�� p(��TING 9WWII! 01 <br />TYPE OR PRIMT ONL1" �n 1— 2 Fuplij&Works Fed S t �r3 C. _ <br />r_r-rnou [n <br />SO M L': ^U -rJ0 b�PtT �a c>L-J O-O W <br />G �.O CJ coRIP om O+-1 O <br />WFNOYr S TNTFRNATTONAT. 555 S R®T0 VIL1AG JPT Ll`#HWBEPPf ua °'98035 425-235-8570 <br />Owner Mailing Address City u- r Zip „Mi .� Phone <br />RJ <br />R_. i <br />CONTACT: JOHN MORAN 425-644-kb302 `i' <br />Applicant Mailing Address n r4 k— Ctl- "'' z ;— ZI �' Phone <br />y � <br />I— <br />O:II: M==Cfl'_7.J: CC, YS:=s Of <br />Describe Proposed Work <br />c qg <br />PROJECT ADDRESS (if known) <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: <br />'Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />'Centedlne 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 acc-)rdance 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 1-800-424-5555. <br />"/ • /� 71'am- C ,p 160-f <br />r 13 - A 4/ <br />FINAL INSPECTI N Date <br />Approved as Constructed 2 <br />z <br />O <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The. undersigned owner/applicant hereby agrees to hold and save harmless <br />the C 1y of Everett from any and all claims for damages, costs, expenses, or <br />causr : of action that may arise because of Installation and maintenance of <br />the improvement orother right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />Signature of icanf Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGEIMY PLW9MTO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />