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� .. _ _ . _ _ __ . <br /> qpplicalionFor Date 3/25/99 � <br /> G�� PUBLIC WORKS PERMIT publicWork�Pa�,��# <br /> F�' PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street Buildin Permit N 861972 <br /> Everett,WA 98201 (425)257•8810 9 — <br /> TYPE OR PRINT ONLY <br /> T3 POSTING �°01 Public Works Fee$ �' <br /> ALEX COROTAS 2716 STH ST EVERETT 98201 425-258-2105 <br /> Ownr.r Mailing Address City Zip Phune <br /> qpplicant Mailing Address City Zip Phone <br /> Describe Froposed Work � <br /> � <br /> �� <br /> V/ <br /> PROJECT ADDRESS (if known) 27 i 6 STH ST � <br /> . o <br /> Attach four(4)copies plans br proposed work•Draw to scale and note Ihe following it applicable: � _ � ; : � , _ � <br /> •Property Lines •Outline and dimensions of all ezisting and proposed structures on tho lot •Existing and proposed utilities : I <br /> •Cenledine of streel •Indirale North •Show any proposed grading changes •Show measurements . �. � � � <br /> DO NOT WRITF BELOW THIS LINE ' "' , <br /> PERMIT CONDITIONS: ' � <br /> 1. Ail cal�s tor inspection shail be made 24 hours in advancF- phone (425) 25�-8810 <br /> 2. All work shail be performed in accordance with this perm�t and current City o( 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 /> G'-, N�v �,��,�e��. 1 r� ,f�� Zo' ma x wr�� � 0 <br /> a <br /> 5 1��w G�n"e'✓�. P�'' �-Ed ���n � 30� <br /> C�i l I � ns�i.cG�lv✓ �f 33R-7407 .�� �re Co��'�� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownerlapplicant hereby agrees to MIO and save harmless <br /> � the Ciry of Everett from any and all claims tor damages,costs,expenses,or <br /> causes of action that may arise because of installation and maintenance of the <br /> ro or vn ru ion a e . improvement or other right-ot-way use herero applied for and further agrees to <br /> i remove�:.me upon notice from the Ciry end to repiace public pmperry dam- <br /> ` ��--�� I-�3 '/`f aged thereby. ,/^ �,�, <br /> FINAL INSPECTION Date �Z � �__�� <br /> Approved as Constructed a e <br /> igna ure o �pp i � <br /> yypqK pUTFI�R¢ED BY THIS PERMR MUST BE 5TARTED WfTHIN 180 DAYS OF DATE P[RMfT IS ISSUED PND TFEREAFTER IS i0 BE DILIGEMLY PURSUED TO <br /> ppMpIFTKNJ.THIS PERMR MAY BE CANCELLED BY7HE CfTY UPON ANY 3TOPPA�E OF WOPo�ON TFMS��T OVER 90 DAY3 WfiA�tJN. <br /> _____� <br />