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� �lication Far � <br /> PUBLIC WORKS PERMIT Date_ 4-19-96 <br /> PUBLIC WORKS DEPAR7MENT O <br /> 3200 Cedar Street Public Works Permit N /ro_�.� <br /> Everett,WA ggp01 259-8810 <br /> Bui!ding Permit# 51501 <br /> TYPE OR PRINT ONLY �0 POSTI NG � i�), <br /> Public Works Fee 5 /2 99�� <br /> Everett Housing Authority 3107 Colby Ave Everett 98201 303-1103 <br /> Owner Mailinc�Address <br /> City Zip Phone <br /> Botesch, Nash & Hall Devin Saylor 259-0868 <br /> Applicant Mailing Address <br /> CitY Zip Phone <br /> Describe Proposed Work new maintenance shop & office SEPA �16-96 <br /> W <br /> H <br /> �-/� <br /> PROJECT ADDRESS (if known) 27__ 15 15th St w♦ <br /> ��' ^• FM n ut � �.�.�... <br /> Aitach four(4)copies o(plans for proposed work-Draw to scale and note the(ollowing if applica6le: � <br /> •Property Lines •Outline antl dimensions of all existing and pmposed structures on tfie lot 'Existin and �O�uS"'1g� �. <br /> •Centedine of sireet •Indicate NoAh •Show an ro osed radin chan es 9 P�Ps�ed"utlili��40.50 � <br /> Y P P 9 9 9 •Show measurement; , <br /> SFtiHk.G �,4.50 � <br /> DO NOT WRITE BELOW THIS LINE h� . i <br /> PERMIT CONDITIOIJS: ELuG "�2D96.50 <br /> 1.All calls for insper.tion shall be made 24 hours in advance- phone 259-8810. SF.CN£G S�f.5p Z <br /> 2.All work shall be performed in accordanca with this permit and current City of���}�Q�'Sir�n and <br /> Construction Standards and Specifications. WATER 3�Ep,;)p O <br /> 3. C.all Location Uncierground Service 48 hrs. before you dig. TOLL FREE NUM�@��C��B_q24-5555. <br /> �J' /�� SEWER �70.�0 � <br /> �� C.�u��liiv�i� ,�` f�e ��f,C� 5�'SDEV 82�07,00 //� <br /> 6 /��� P�1�� �P�r�,✓ec� #400004010 V♦ <br /> fr �c.Gl,%c ���,Er o�; �- 7 96 ,. warEc abo.oo O <br /> #00096243 <br /> �THEF. 885.00 � <br /> FW/REV 8167,46 <br /> F�J/:�!S 3104b,55 <br /> CHEC{; �5644.;1 <br /> � �— ACKNOWLEDGEMENT OF CONDITIONS <br /> �J a 7 The undersigned owner/applicant hereby agrees to hold and save harmtess <br /> �/ /�6 ihe City of Fverett from any and all claims for damages,cosis,expenses,or <br /> � y�is�u tln Date7�— causes of aciion that may arise because of installation and maintenance of <br /> � ihe improvement or olher right-of-way use heieto applied for and(urther agrees <br /> - � _ / to remove same upon notice (rom ihe City and to replace public property <br /> � /�"�� dam thereby. <br /> FINAL I PECTION Date <br /> Approved as Constructed . � <br /> � �J / � <br /> i naWre of Applicant <br /> WOAK AUTHORIZED 6Y THIS PERMIT MUST BE STARTED WITHIN 100 DAYS OF DATE P RMIT IS ISSUED AND TH ER IS TO BE DILIGF'JTLY PURSUEDaTO <br /> COMPLEfION.THIS PERMIT MqY BE CqNCELLED BY THE CIN UPON ANY STOPPA OF WORK ON THIS PROJECT OVER 90 DAYS DURqTION. <br />