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� <br />.� <br />TYPE OR PqINT ONLY <br />SUNMARK H <br />Owner <br />DAVID PIG <br />Applicanl <br />Describe Proposed Work <br />ApphcabanFar <br />PUBLIC WORKS PERMIT Date l�zzi5, <br />PUBLIC WORKS DEPARTMENT Publlc Wo�ks PermM N �7�CZ % <br />3200 Cetlar Streel -- _ <br />Everett, WA98201 259�881� <br />BuildingPermitN_____5402]..__._ _ <br />...... ,... _ _ � kl(� �'�I � U �T�� � s 1991 Public Works Fee E. L�G'. <br />Address <br />City <br />Phane <br />rnune <br />q� .- ,, 5 „�r,, �'J( <br />PROJECTADDRESS (if known) 703 1�RD PL SE ��'-"`-�'�-�" <br />10T 1 cu � � <br />Attach four (4) copiea of plens for proposed work - Drew to scale end note the lollowin V e Ilcable: �_�'('i--� ��1:; ��-- <br />9 PP <br />•Property Lines 'Outline and dimensions of ell ex��ting antl pmposed stmcWres on the lot •EM'ctin end °� '� � <br />•Centerline ol street •Indicate North �Show en ro � B P�o�esad �;Illllee`� ��- <br />y p possd gretling char,gas Show measurements '��- �'"'�� `� � <br />,n .. <br />�-�..�+� ..nu�oc�vvv �111JLINt fl��,l^"��F — <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours In advance - phone 25�J-8810. '� �^��'^ � `I <br />2. All work shall be pertormed in accordance with this Fermit and current City of EGeYBtt Design And <br />Construction Standards and Specifications. -;,, , <br />3. Call Location Undergro�,nd Servica 48 hrs. before you dig. TOLL FREE NUMBER 1-800-42M1-g655, <br />� K rrp cdv :h eel� rlc•nn at �dl hm�� <br />(:�ub �•ull::� wiJ,iJewidk iu Ihe plal :uc nrw ;nid iwd;uu,u�.d. <br />di�crrtinn of Ilir Pubfic N'o�4:s Inrp� cloi <br />r� Am� ehenrr m die dnvew�rv cni mnsr br npproved bV ihc PW <br />:xislinR sprou wiJlh. <br />����P��� N'81rr �OSf�' f0 ^fBfif 9f �nd of cnn�tnicfion <br />� hiivrwtryc :hall hr cowpl��trlv cinrd brfntr dmim� nn ilirm <br />n ( ;,mi.:r� ii�� <br />�I 1�.�, niu,�lllu tlic .i:�itn �li:inci��� ,luh ��i��tii�l d nl <br />//z7/� <br />1 <br />��', kPr� �� _ F' -.s �'J <br />:w� J:uu;q•c Il�r�:rlu .I��ill Lc icpl�acd �tl <br />hi�prctor widNt ,n piop hnr lumkd to <br />�h h�,ni �;I ih I� i <br />� <br />O <br />♦�^ <br />v/ <br />O <br />a <br />ACKNO'NLEDGGMENT OF CONDITIONS <br />7he undersigned owner/applicanl hereAy ngrees lo hnld and snve hvmless <br />Ihe City of Everefl Irom any end ell claims lor demagee, cos�s. expenaes, or <br />causes ol aclion iha� mAy adse because ol installation and mainlenance of <br />iha impmvament orother right�of-wey use hereto applietl for and luriher egrees <br />to remove sxme upon notice Imm the Cily anA to replar.e publir, proper;y <br />damaged �hereby. <br />IFINAL INSPEi,TION Date I - c -- - <br />Approved as C�nstructed <br />SlgnetureolApplicant �-�-/�`L? - <br />Date <br />WORK AUTNORIZED BV THIS PERMIT MUST BE STl.RTED WITHIN 180 DAVS OF DATE PEHMIT IS ISSUED AND� HEAFTER IS TO BE DILIGENTIV PURSUED TO <br />COMPLETION. THIS PERMIT MAV BE CANCELLED BV THE CITY UPON ANY STOPPAGE OF WOFK ON THIS PROJECi OVER 90 DAVS DURATION <br />