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Date_ Z—�-95 <br />Application�or <br />i� POSTING W-25-��' <br />PUBLiC WORI�S PERMIT <br />c� <br />It mqn�..n•mmn,HRnrHmmNAhm(�fidll�hr�mmmmHNiom�IfrqtMfm�'-Mlte�o+�w'm <br />Print or Type Oi�ly ,_ ;� p, �¢? ;; g�, � ��' $ ro <br />, � ' i FI � . vr r� r.� i Ci �� �i r,u r�i ,C <br />f1 N�.� M f.� �p fl f'- O� 1_: f) <br />.. � M M M M .A f_� M(1 <br />L 6 L Buil.dere 10711 EvergTee��4lay EvereGt 98,�04 '2'90=181� <br />Owner <br />Aoplitei�t <br />Daecribe Proposed Work <br />o ����� <br />� �d��� <br />Mailing Address <br />new houee <br />auobc Worh� Permit �'� �LQ'�'���___ <br />BiOp DaO� � �2Y2�.6�_____ <br />Pu��ic Wane iee <br />ioiairen S <br />TMe� pi feeva�n N "Y�i"�� <br />�IM�1 i <br />B �'^�;.ti'.Ilm nl�l <br />� x �:� � � ,j�P Phone <br />CJ (�I N Fy W <br />�s�;�. �����_ <br />Ci1Y ZiP Phone <br />Fro�ectAddress�dknownl 119 1C5th Pl SE ____ Loi 7 SP 44- �0 <br />A��ar.h bur 141 copies ol plens for proposetl work � Draw to ecale and nole Ihr, lollowing i5 apV6cab�e� <br />• Property Lines <br />• Outlme antl dimWnsions of all ew�alm{� and <br />proposetl struclUres On Ih � lo� <br />• Ecietmg and propo5ed uliPlips <br />� <br />• CPnterLne of street <br />• Indicale No�th <br />• Show any p�oposrd grading changes <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calle lor inapeclion shxll 6e meda 24 hrs. in edvence � phone 259•8b10. <br />2. All work ahell ba pedormo� �n accordence wilh ihis permit enq currenf City of Everett Design ard Conatruction <br />Stenderds end SpecilicaUcns. <br />3. Cell Locetlon Undarpround Servlce 48 hrs. belora you dig. TOLL FREE NUMBEN 1•800•4�4•5$55. <br />l I�irt trca��atr t fut I^undahon ch�ll be remo��cd fi��m =ir, pml-<< ��ihciui,e •.pprov�:d hy th•r public work•: <br />inspectoil ninl heul�d io u pr,i�i�i�rd lill dc;imniian <br />` F::ep ci•.�•,ncet� elean at all tuu:�. <br />6 Cnrb �nmrr and cidcwelk m flic pint n�� nrw nnd mid;uua��rd mrv d�ma��r t���rrh, ehnll 6r replared el the <br />disa:unu i.f �hr I'uL6i 14bi6s Insprdu�. <br />"'. ,Ury� chv,g, ,n Ihc drn�:ws}� cut mu:t br appro�•rri Ir� Ilre I`N' In"�1CCIOi. R'I�IiII il� �I(0(1 II(IC IIf01I0(I ip l'XISIllI[, <br />op�on widlh <br />8. AJju,t wolei Lurc+ to ka�de �I cud uf �on�liu�livn. <br />a. ':ih Il•ncee �nd'or other ��o�jon cnnhol mrnsure� slmll he in�hdled Im the builder ar Ihe direction ol' Ihe Fubtic <br />W <br />� <br />� <br />� � <br />� <br />� <br />O <br />� <br />� <br />O <br />w'o�ks inspecim � <br />In. Rootlop diaivagr ,hall L: di>dmr,�cd <br />I ots ; 7,� ft ( mmce� tn the pint't �tonn drain s� �tem n ch�h is pravid�d ai ihr fimit ol �hr lot <br />I ol, 1. 2. d. �. o k l. Cuuucct i0 IIIC IOI 6 IIIlIl1'IlI11UI UCIICI'd��iu�r�,q�������iti�'��irStlfi1�11�ls <br />�� <br />('ar.liun: ('�rc mu t b: t�Y.cn iot I.� i r ni q t rc;u: � pf II ^ Irenc i �11�I� <br />� �he undcrsigned own�nqpphcanl here4�y agre�s��lf0 d and save harm� <br />� less Ihe Gty ol Everett hom any and all clauns �or Aamegns. costs <br />eMpenses. or r,auses ol a�.bon t�at may anse because ol In9tallntion <br />� ("' and mTintenance ol the improvement or o[.�r nghbobwey use ,�erelo <br />>> epplieA �or nnd lu�ther egrees to �amove seme upon noUce Irom Ihe <br />�nsi� y�pn ���._ Date � Ciry anA to replace public property damaBed Ihe�eby. <br />Approved es Constructed <br />'��"UBUC WORKG DEPARTMENT <br />3200 Ceder Street <br />Everett, WA 98201 <br />Phone�.259�8810 <br />b+���i,l�i.,,i 3//��i,2� <br />s�gnamre oi nnn��c t T �AI2 <br />WORK AUTHORIZED BV THIS PERMIT MUST BE STARTED �"�ITHIN <br />1R0 OAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DIUCoENTLV PURSUED i0 COMPLETION THIS PERMIT MA;' BE <br />CANCELLED BY ThE CITV UPON ANV STOPPAGE O' WORK ON THIS <br />PROJECT OVER 90 DAVS DUFlATION. <br />