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Date 6 Z1 95 <br />Applir,alion Po� <br />PUg��C WORKS <br />Print or Type Only <br />RALPH SCHUCK <br />qpplicant <br />Describe Proposed Work <br />�,� �OSTING `��_ � �� <br />PERMIT <br />;' : <br />'� STANWOOD 98292 <br />2071�AVG NW_�__,liy, _ <br />Manin�; Ar.dress :�; �.�� .•� � � <br />,:�i� �,� n� i i�— <br />�—�— CiiV <br />rn,;�i��:; ndd�ess <br />N�W HOUSE — BASIC 28� <br />1102.3 17�►� _�'_'r�-w- <br />� ��S ��'�� �_ <br />„n��v,a�.sa,.�m„• 48 67 <br />Bic9 OeP� ° �� _— <br />� Pold�r. WarksFao S ���� <br />Toi�i ree <br />Less API�I. Fee Pa�:1 5 � <br />pTldnf.V OuC S ----- <br />652-1309 <br />LOT 14 <br />Prole�� Address (it knownl �— � iicahie�. <br />K. Draw. Io �c.i'i., ..+:�7 nGlr. tha tolluvnny as aPU <br />• Cente�llne ot street <br />Altar.h toUr (4) COP�es of Plans toi Oroposed w�: • IrdiCaD:; Norlh <br />� Proper�Y Lines <br />� c����•� anY nroposcA gradin9 chanyt' <br />O Oulline and dimensions of ali existing ���� � Show measurements <br />proposed �� proposed utillien <br />• Existin9. <br />__ ....r�n�on'F FFLOW THIS LINE <br />phonr. <br />PERMIT CONDI710NS hone 259•881�. <br />1. All calls tor inspection shall be made 24 hrs. in advance - P <br />2. All work shall be peAormed in accordance wilh lhis permit and current CiIY o� Everett Desi9^�24 5555Uctlon <br />Standards and Specificalions. 70LL FREE NUMBHR 1•800- <br />3. Call Location Underground Service 48 hrs. belore you di9. <br />4. <br />S. <br />ti. <br />3. <br />W <br />� <br />�w <br />� / <br />heep city streels clenn at �Il times. d�na��e ihareto slmll Ue replaca�l at u�e <br />C�ub gutter mid sidzw�lk ui tlie plat :u'e new and undmnaved, an'y r <br />cliscretion of d�e PubGc Works ffispector. <br />.tiiy chm�ge in d�e d�;ivav� cut nuist be ;�pproved b to wr [ ga��WodooL��pumue (Cort�mi�a1P�°°ud 3�� ed to <br />. xisting aprmi widtlr'-.:}j�way may taper gaJwilly <br />�arn4e). <br />A�just w:der buxes to �':��� ;�t z11� �f consuucuon. <br />Di�7sion 2 Lots lots 3,�1,5 K g �}1a11 cliscUar�e rooftop drsu»g� to tl�e lots u�fdtratiou uench �5 P�� i� <br />„llispersion'french Detail" on shect 5 of Il�e plsts cousUvclimis platts. A p�'��onsttuctiou nroetiue Nust ba <br />scheduled willi Alan Lo a ion trs� eh nu�st b:. appro ed by d ecP iblic � u;{kstU specmrt uAlluo luzr lots in stem. <br />:Urv change in die u�filtr <br />� rooftop ch;wiaKa to tl�e stom< <i���� s�U P�ovided tEOG[ °ENT oF coNoiTioNs <br />Z <br />� <br />� <br />M I <br />0 <br />� <br />11 <br />� <br />Division 2 shall dis�hyg� - ACKNow� <br />y rees to hold and save harm� <br />qpprovetl as Gonsuuc.�� <br />��tl��?� PUBLICWORKSDEPARTMENT <br />3200 Cedar Sireet <br />EveretL WA 98z01 <br />Phone:259�8810 <br />The undB�°�9ned owi�ed�PPhC1nt h l�ntlYall�Claims for dama9es. costs <br />i�ss ihe Ciry ot Evarett Irom any arise because of inslallation <br />e.penses. or causes o� action Ihat me <br />usE he�eto <br />and mamtenancelftl��1e�n�eeslo�removetsame uPo' nolice lrom the <br />i� pi�r•,: for and ed lhereby. <br />C�!v and to rePlaca Public ProPeriY �1 ma9 <br />�/� � <br />ii � pate <br />U <br />SignaWr of ApPlicant <br />VJORK AUiHO LED 8Y THIS PERMIT MUST BE STARTED W�THI <br />1R0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PUFSUED TO COMPLETION. THIS PERMIT MAY BE <br />�� pRp,CIECT OVER 90 DAYS DURATION STOPPAGE OF WaRK ON TNIS <br />