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�e����� APPhCatinnPor __ _ _ _'__._ ./. <br />PUB�IC WORKS PERMIT Date �i�3i9�_ <br />PUBUC WORKS DEPARTMENT Public Works Permit N_ q� �� <br />3200 Cader Street - - <br />Fveretl, WA 98201 259- <br />'�"' � i I�I C�� I 8 1991 e�uam9 va�„n x__ 53926_-- -- <br />TYPE Oq PRINT ONl" Pubuc Works Fee S_. yc.� �___ <br />SUNMARK HOMES 2210 HEWITT AVE 0210 EVERF.TT 98201 259-4200 <br />Owner Malling Addres5 Citv 7�n ow...,_ <br />DAVID PICOTT 259-4200 <br />Malling Address <br />Describe Proposed Work <br />City <br />i..�/��:� ..�.....iY l�l <br />47c^9.7C <br />PLEG fE'..70 <br />PROJECT ADDRE3S Qf known) _g05 10�R� Pl. SR L � f' �" � "+�CH sbn, r� <br />.litech four (4) copleg ol plens far proposed �xork - Oraw to scale ond note fbe I011owing II eppllcable: 7F �MFG 4. .�� <br />�PropeAy Llnes °Outline entl aimanslons ol ell existing and pmpo�ad slructures on the lat •Ezlsting end p^ � r� �� �Itley4 t, �, <br />'Cantadine of street •Indicate Nodh �Show en . ���" - <br />y proposed gratling chenges Show measurements ,�� �p 3. ,,� -, <br />_ ___ .. ...._ _. ,_ <br />PERMIT CONDITIONS: �F'JEF + "'. �r <br />1. All calls for inspection shall be made 24 hours in advanca � phone 259-8810. ��"'�'EV p'Gc <br />2. All wurk shall be performed in accordance with this permit and current City of � Ttt De �'� n�j <br />Construction Standards and Specifications. ! � $�� ,� <br />3. Call Lucatlon Underground Se� vice 48 hrs. befnre you dig. TOLL FREE NUMBER 1-800-424-b658. <br />F:re�i cLLV �I�eeh� cleas �H all hiac: <br />(lirb F�uter nnd sidewalk in thr pl;d ;u r ue« and mdania��ed. ,un' dauuiE . thri:•10 .,Icdl L� i, pl:u �I ai tl <br />disrrction of the I`nblic R'orks fiisprcinr <br />A�n cha�iE�e m Ihc dnvrwm� cw rnnsi bc appro�eJ hy ihe PW Inspeeloi. widlh .n piop lin. In�m.J i„ <br />r�i�Unr apron aidlh. <br />Adjucl wstcr boxes to rradc ai cnd nl couatmclion. <br />I���� �«': �, d�:dl bc completety cured belbrc d�i�intt on Ihcm <br />k��nlln�� �h�iuia�•:• �hall hc �li:chnr^rd In ih. .�tnnn rlt•nn:i�.. :hih ��rm-id �d n �Ir li��m ��� �b I�., <br />ACKNOWLEDGEMENT OF CONDITIONS <br />�i //� �- J The underslgnetl ownadnpplican� hareby egrees to hold entl snve harmless <br />� � Ihe City of Everett fmm any and ell claims for demeges, msts, e.pe,ns�s, or <br />Appr ved lor Conslruct on pB ---- causes ol eclion ihe� may eiise beceuse ol installetlon end mainlenence ol <br />� the Improvement or other right �ol�wey use hareto applied lo� end ludhar aqaws <br />�/�,, to remo•,a seme upon nollcn Irom the Clty and �o replace public pmperty <br />.nt'/� '�� �.' S 5'� dnmagac'thereby. <br />FINAL INSPECTION Dete / - <br />Approved es Constructed / • <br />� SlgnetureolApplicant ~���� <br />Dele <br />WORK AUTHORIZF_D BV THIS PERMIT MUST BE STAqTED WITHIN 180 DAVS OP DAiF PERMIT IS ISSUED AND THEREAFT IS TO BE DIIIGENILV PURSUED TO <br />COMPLE110N THIS PERMIT MAV BE CANCELLFD BV THf CIi1� UPON AN� STOPPAGE QF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />