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Date_ z=�'95 <br />PUBLI � <br />Print or Type Only <br />AppLta�i�n For <br />WOM�KS <br />LL <br />Gf> <br />YI <br />L 6 L Buildere 10711 Ev <br />�� �'���TING ANI� u �a »9 <br />PERMIT <br />a- � �', ri �'� is� �; �;'. <br />i <br />r'� �o ..j u � e o ri <br />(J i'i Q ..1:. .-� Y ;.� M <br />' Il') M M M � <br />!tgr�Cn Way Evere[[ <br />� <br />Yl <br />G <br />••••,��, M�qAtldress C' � Lz Cily <br />_. ��� r,�i � <br />o ����,,,�az��' <br />_ Owner a �:T��'i;i('n`f��$ <br />Apphcent Maihng Add�ess City <br />Describe Proposatl'✓Vork nev house <br />ProlectAddress�ifknowm 710 I06Ch Pl SE <br />o c, cp, r_'. <br />� .. <br />�' ti. LJ UJ <br />�' T N) � <br />'� f 1 � ;Il <br />290—I'9l8 <br />� � Z,p <br />W,- <br />� �� y L; <br />,� r'n ,- � 'i <br />- Zu <br />i.nf I <br />Alta�h lour 141 cop�es of plans Iru propnsed wo�M � praw to 6cale and nole the �ollowinp as aoul�cahia� <br />• Pronerty Lines <br />O Outhne and dimnnslons ol all eaishng antl <br />pNpo9ed SfruClureS on Ihr lo� <br />• Ewisling a�tl p�opnsed utilitie°. <br />R,ni.c wawa M,mn . / ✓ /�— / <br />emu n�o� . 46939 T <br />PUE�mWwbfee � <br />io4iFee i _ <br />Lep �WI fe� Pe�O S��J�,� <br />B�ia�ro �ue s �/_ <br />• Cenlerhne ol s�reel <br />• indicate North <br />• Show eny prnposed greding chxnges <br />• Show measmr.ments <br />Phone <br />PERMIT CONDITIONS <br />�. All r,alls lor Inspactfon ehell be mede 24 hrs, in edvence � phone ZrJQ•BeiO. <br />2. AI! wurk nhell be pedormed In accordenco with thie permit and currenl City ol Everetl Design end Conetructlon <br />Stenderds end Specilicetione. <br />3. Cell �ocation Undaiground Service 48 hrs. bafore you dig. TOLL FREE NUMBER 1•�CNI•424•S$$5. <br />1 I�nt ercov�led for fnundntion •6nll he remnvrd fimn ;i�r (unl,;, o�he�wisr npprr,v:d b�� Ihe public works <br />msprc�oi i a�id hnuled to e pemiited lill deslmaann <br />' I::cp ciry ;h��l� ckvi al all timc:.. <br />r� r'urh Mittrr nnd eidewnik. m Ihe pint mr new nnd nndnms�rd mrv dmm�pe fherclo shnll be replered et the <br />di+c�rduu ol tlie PubGc 1l'urAs Inspeclu�. <br />'.1tty� chau�e iu thc d�ivcan}• cul musl bc appro��cd b� ihc P1t' Inspcctor, �vid�h nt prop luu Gnutcd ro exis6n�; <br />nptnn ��id�h <br />S. AJju,i walei buxe, lo �•a��Jr, ut enJ uf euu,huctiuu. <br />9 Sill 1'encr� nnd�or olhrr eioeion conhol mrnsurer ehall he in�tnllcd 1»� the biWder ni thr d'vrclion of the Pubfic <br />wntks msprctoi. <br />I�� Rui flnp clraiun�;c shall bc di,cl�a��cd: <br />1 mc 1� A� R�'onnr�t lo the plsl'G slortn drnin n�stem a ctuh i� prmided at 8ie fronl of the lot <br />f ul. 1. 2. 1. 5. 6 Re v: (:oimecl lo Ilic lul's o�diriduiJ lieuch �6uin p�ondrd nl Ihr trw of each Im. <br />('aufion: f';uc mu=1 bc t.iLen not to di�ru rt Ihc yca of 14: trr.ndi drnin! <br />� _ ACK�WLEDGEMENTOFCONDITIQNS <br />npv���v�v �u� i,onsnur„�on <br />/ <br />. �.-� �1.-. <br />FINA INSPECiION <br />ApProvr.d a5 Corstructed <br />�`f/ PJBLIC WORKS DEPAFTMENT <br />3200 CeAer Slrnet <br />Everett, WA 98201 <br />?hona: 259�8810 <br />i� <br />y-3 <br />Date <br />W <br />� <br />� <br />� <br />� <br />� <br />The undervgneA uwner,�apph�ant hereby agrees lo hr�d antl save harm� <br />less the Cdy ol Eve�ell Irom eny nnd all claims for damages costs <br />expenses. or causes ol actlon that may ense becnuse o� installehon <br />end maintenance a� Ihe improve,��enl or other right-ol�wey �se herelo <br />apP��eA lor anA I�.;her agrees to remova same upon nofice Irom Ihe <br />C�ty and Ic replace public properry damnged thereby. <br />J �� ����9� <br />' ignature al AGP� ant Oele <br />V/ORK AUTHORI2ED BY THIS PERMIi MUST BE STARTED WITHiN <br />1B0 DAYS OF DATE PERMIT IS ISSUED AI�:D THE�REAFTER IS TO <br />BE DIL'GEN7LY PURSUED TO COMPLETION. THIS PERMIT MAV 8F <br />CANCF.LLED BY iHE CI7V UPON ANV STOPPAGE OF WORK ON THIS <br />PROJECT OVER p0 DAYS DUFiATION <br />