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Dafe 1j24/90 , � .. � p - �/ <br />�j _� I i <br />Application For <br />PU�LiC �i'VOR�S PE�iliii�' <br />Print or Type Only <br />Select HOmes P•C• <br />Owner <br />ownez <br />Applican! <br />Describe Proposed Work _ <br />Project Address lif known) — <br />708 Mukilteo, tVA 98275 827-8196 <br />Mai{ing Address Gty <br />'�t� /�(� % <br />Puoe[ \vui4e'ermil a —�l_� `* .l <br />eie7. neo�. � _ - <br />90/23809 <br />Fueuc •No�ks Fco S, � <br />To�al Fer <br />Less ApOL Fee Paid S <br />Balancc Due S z�t <br />Z�p Phor.N <br />Mailing Address Ci�y Zip Phone <br />2— <br />tlew single family residence, Lot 16, Glenhaven Heights, -� <br />� n� ��vc- �� � <br />atlact: lour 141 copies of plans lor proposed work - Diaw to scale and note the lollowing as applicable: <br />� <br />• Property Lines <br />• Ou�linc and dimensions ol all exis�ing and <br />proposed sVur,�ures on the lot <br />• Existing ar.d proposed utilili=5 <br />NOT <br />• Centerline ol street <br />� Indicate Norih <br />b Show any� proposed grading changes <br />• ShoH� measurements <br />IS LIN <br />PERMIT CONDITIUNS <br />1. AII calls 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 Ciry of Everett Design and Construction <br />Standard; and Speclfications. <br />3. Call Location Underarcund Service 40 hrs. before you dig. TOLI FREE NUMBER 1-bCn-424•5555. <br />4.A'VY CHANGE IN THE DRIVEWAY CUT MUST BE APPROVED <br />BT THE PUE3LIC WORP.S INSPHCTOft. <br />5.C�)NNECT DOWNSFOOTS TO PiI-RH-�HEtB-BRfrEt7� Pvf3i--�c_ �r'��t�'°�'�e =�Ysr�� <br />6.YfiEP CITY STRHETS CLEAN AT ALL TIMES. <br />7.ANY DAMAGL TO THE CORB AND SIDEWALR 3VILL BE REPn�HED <br />'f0 THE SA^ISFACTION OE' THE PUBLIC WORKS DEPT. <br />�...�.���-��� z ��./� <br />Approved :or Construction Date <br />iC'���i�/� ��/ _�— �, <br />c' <br />FINAL INSPECTIOIJ Date <br />Approved as Constiucted <br />everet[ PUBf.IC WORKS DEPARTMENT <br />� 3200 Cedar Stieet <br />Everett, WA 98201 <br />Phone:253�88i0 <br />ACKNOWLEDGEMENT OF CCNDITIGNS <br />� <br />0 <br />� <br />V/ <br />� <br />a <br />The unAersig�ed owner/applicant hereby agrees to hold and save harm- <br />lesa the Cily of Everelt from anv and all claims tor damages, cosis. <br />expenses, or causes of action that may arise because o( ins�alla�ion <br />and maintenance of the improvemenl nr other righl-of-way use hereto <br />applied for and fwther ac�rees lo remove same upon nolice Irom the <br />City and to :c�lace blic pwperty damaged �I�:reby/J <br />of Applicant <br />Date <br />WORK AUTNORIZED BY THIS PERMIT MUS7 BE STARTED WITHIN <br />1P0 �AYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PUkSUED ?O COMPLETION. THIS PERMIT MAY BE <br />CANCELLED 6Y 1�HE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />Pi;OJECT OVER 90 DAYS DURATION. <br />