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Date 8-10-93 <br />Applitetlon For <br />PUBLIC WORKS <br />Print or Type Only <br />C-zo-zg-s <br />TO POSTING �_ �- � �L�I <br />PERMIT <br />Duol¢ Wer�� varm�l � �,(1 I� <br />e�eo o.o� • 4158A <br />Puei¢ Worx� F�a ` <br />Tot�l ine <br />���� �ool f�e Pne � <br />B�bnca Doe { �' <br />L 6 L Buildere 10711 Evergreen Way Everett WA 98204 290-1818 <br />Owner Meiling AOdreea City Z1p Phone <br />Owner <br />'�PRlicent <br />De6crl6e Proposad Work <br />Pro1e�' Addroen 111 known) <br />Meiling Addre9s <br />new house <br />Z4Z1 ID <br />City <br />ivEsc <br />Aflech lour IA) coples ol plena lor propoeed work � D�ew lo scale end note the lollowing es eppGcable� <br />• Property Linee � Centerline ol etreel <br />• Qullina end dimeneione ol ell eRieling and • Indicale North <br />propoeed atructurev on the lot • Show eny proposed gretling chenges <br />• Exlelinp end proposad utililias • Show meesuremenls <br />PERMIT CONDITIONS <br />1. All calls for Inepectlon ehell be mede 24 hro. in edvence • phone 259•8810. <br />2. All work ehall ba peAormad In accordence wllh Ihla permll end eurrenl Clty ol E�, e�ett Deelgn and Conetructlon <br />Stende�de end Spacllicetlane. <br />3. Cell Locallon Underp�ound 3ervtce 4B hre. belore you dig. TOLL FREE NUMBER 1•800�4245555. <br />�.�.�- l������ ���� �'3 �f <br />Approvetl onslruc�ion Date <br />/ l ' i �Y <br />FI I TIO ' Dete <br />Appioved es Conatructed <br />�PUBUC WORNS DEPAFTMENT <br />3200 Cetler Street <br />Evurett, WA 98201 <br />Phone�.259-8810 <br />ACKNOWLEOQEMENT OF CONDITIONS <br />W <br />� <br />� <br />The untlersi0ned awner/epplicant hereby egrees to hold end seva herm- <br />less �he Ctly ol Eve�etl Irom eny end ell claime lor demeges, cosls. <br />eMpenses. or causea ol action Ihet may nriee beceuee ol Instellntion <br />end mxintenence ol the improvemant or olhar righl�ol-wey uac hereto <br />eppheA loi and 1 er agreee lo remove same upon notice !�om the <br />City anA to re c ublic p�oper demaged Ihereby. <br />nature ol Ap ant Date <br />WORK AUTH RIZED BY THIS PERMIT MUST BE STARTEU N/ITHIN <br />180 DAVS UF DATE PERMiT IS ISSUEO AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIl MAV BE <br />CANCELLED BV THE CITY UPON ANY STOPPAGE OF WORK ON TNIS <br />PROJECT OVEF 90 DAYS DURATION. <br />