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,� <br />� <br />TYPE OR PRINT ONLY <br />�n�,Fo, ?�:? POSTIWG <br />PUBLIC 1WORKS PERMIT <br />PUBUC WOfiKS DEPARiMF.NT <br />3200 Ceder Street <br />Eve,etl, WA 98201 258-P810 <br />OC��=- <br />�e 10-02-98 <br />�k �, �,n « �8.�310 <br />emw+ng Pe�mn � 60391 <br />Publk Wakn Fee � %� <br />DON IACKEN 2116 131ST AVE NE LAKE STEVENS WA 9825-8 425-355—.9b60 <br />pwner Ma41np Addme C1ty Lp Pho^e <br />OWNEN <br />Applkant Mallinp Addrees <br />Doscrlbe Proposed Work __NEW HOUSE <br />PROJECT ADDRESS Qf known) <br />2627 lO1ST ST SP. <br />Attxh k�ur (4) copba of plens ta propeeed work - Draw lo a'ale end note IM folbw�np M appllcebH: <br />21p <br />Rroperty L1nes 'Outline erM dlmenslonn ol ell erlstln� and proposetl etructures on Ihe bl 'Exhting nnd pro�oeed WIIltiee <br />'CanlMlne o1 etreet Mndkete Norlh 'Show eny propoeed greding �hengee 'Show nxasurementa <br />PERMIT. CONDITIONS: <br />1. All calls for inspection shall be made 24 houra In advance - ph�ine 259-2810. <br />2. All work shall be peAormed in accordance wRh this permit end current City of Everett Design and <br />Constructlon Standards and Speciflcatlons. <br />3. Call Locatlon Underground 5ervicA 48 hrs. bofore you dig. TOLL FREE NUMBEA 1-900-424-6666. <br />i ►'-�•p rm �Iti•�'�•' CIeflO fl� OII IIIIIP� <br />(lnb vulln mid siJcwulk i�i Ihe plal nrr uew ;md uudmnurrd. auy damaR�� Ihe�elo ;hall be roplaced al e <br />�icrrrtion of Ihe I'��Mit �1'arkc h�ep�ctoi a <br />�� Anv clnui�e in Ihe d�ivrwfi' cul musl';e npproved by Ihe Pu' Inspeciui. widlh sl prop line linuled Io <br />rxicdnr nprnn widlh <br />- ,adju�� watei boxcs lu rix�lr �d cud ot cuncuucliuu <br />f 1m•rwm � ch�dl hr complrttl}� cnrcd bcfine dnvin� on thcm <br />r�r�IL'iF-kiia�✓ SYS?EM� InKl'14Lt�d N'� g/FCI� OG � �� <br />(�eusE � � � � � <br />/ � <br />ete <br />3 �3!—f f <br />FI L IN9PECTIUN De�e <br />I�IOVOd BS (�.dIB�NLIBd <br />�DP10V c•� 1998 . <br />,� <br />u�� Ll <br />��crmrr 5p��C�,,!�?F�1.�. <br />ACKNOWLEDOEMENT OF CONOITIF11�6 <br />The underelpned rnmer/applkenl hereby eprex ta hold end eave hermbee <br />the CNy ol EvaMl fiom any end ell clalme /a damapee, cwte, expeneea, or <br />causas o/ e�ibn thet mey eine beceux of Inetallatbn erM melnlanence o} <br />IM Impovement a Wher rl,;ht-ol-wey uae heieto epplbd for end Mther a�rer <br />lo remova eaire upon rrotice hom tM City and to replecc pudk p�opeAy <br />tlameged thereby. <br />3lgneture of Applkant Uete <br />WORK AUTHORIZED BV iHIS PERMIT MUSt BE STAIiTEO WITHIN 1 BO DAYS OF DATE PERMR IS ISSUED AN6 THERF.AFTER IS TO BE Dlll(iENTLY PURSUED TO <br />COMPLEfION. TH13 PERMR MAV BE CANCELLED BY THE CITV UPON ANV BTOPINIOE OF WORK ON THIS PRQIECT OVER BO DAVS WMTION. <br />