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/ / <br /> ��� APPlicalion F-,r <br /> PUBLIC WORKS P�RAIIIT oa1e 9 5 96 <br /> 6 <br /> PU6.IC WORKS DEPARTMENT public Works Pertnit# �33 7 <br /> 3200 Cedar Street <br /> Everett,WA98201 259-8810 Building Permil p 5977.� <br /> TYPEORPR�NTONLY TO POSTING N� � 3 '�) � - <br /> Public Works Fee$ �J�� <br /> B8 <br /> EVERETT HOUSING AUTHORITY PO ROX 1547 EVERETT 98206 303-1103 <br /> Owner Mailing Aiidress City Zip Phane <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work CONSTRUCT EQUIPMENT STORAGE/OFFICF. AND CARYORT ■ ■ ■ <br /> W <br /> VL/ _/. __ ... . _. _. �.'. <br /> �� - <br /> -- ':f1f yf'nn'i � <br /> PROJECTADDRESS(ifknown; 2�42— /¢ �'Sf ^_u'� �'^8c� � <br /> Ariach four(4)copies of placs for proposed work-Draw to scale ar�d note�he following if applicsble: L':AVi-1' . �.�':! m �I <br /> •Property Lines •Outline and dimensions of all ezistinq and proposed siructures on the lot •Existing and pr`�oposetl utililies�^f -� O <br /> •Cernedine of sireet •Indicate North •Show any proposed grading changes •Show measurements _ � I <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: <br /> 1.All calis for inspection shall be made 24 hours in advance- phone 259-8810. � I <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and O i <br /> Construction Standards and Specrfications. � <br /> 3. Call Location Underground Service y8 hrs. before you dig. TOLL FREE NUMBER 1-SdD-424-5555. ` � <br /> 1 ! <br /> � �/6iG UiO�eX �'a [5'C ��c �1c.i' �LQn 4�P�'v✓co� O i <br /> �i /�����;c �vo�,Fs or, (�-�8-96. ��oPy �ff4�ia> � <br /> � � i <br /> , ,,a;�,7 ., . , .;» _ � <br /> u, �oo�q <br /> -]C� �.. <br /> � ;�r a..P�r�.D_ <br /> -.741�_'i:U „ = � <br /> r�,r.nJW" - . . . �� <br /> yJnO' '�,q' ' I <br /> �,µ� , : .. <br /> � ,-:,) <br /> � ��i,,, � `_ <br /> , <br /> ACKNOW LEDGEMENT OF CONDi i,:NS <br /> � � /� The undersigned ownedapplicant h=reby agrees to htid aud save harmless <br /> � � the City of Everett from any and all claims for damages,costs,er.penses,or <br /> ppr �9'}6f C n1C' i Date causes of adion that may arise because of instailati<n and maintenance of <br /> / ihe improvement or other nght-�f-way use hereto applic d for and luKher agrees <br /> � ��� to ove same upon notice from the City and to replace public property <br /> •� ,�-� s_,r_j-, d edthereb . <br /> FINAL INSPECTIO Date <br /> Approved as Consiructed <br /> Sign ure o Applican Date <br /> WORK AUTHORIZED BY'HIS PERMIT MUST 8[START:D WITHI�180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLL710N.THIS PERMIT MAY 5E CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 7AYS DURATION. <br />