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.9 �/ <br />o8�e� � �L <br />ApPiicntion For <br />PUBLIC WORKS PER�fiIT <br />Print or Type Onty <br />� _ <br />�„i -w.�.�.� n�.�mn �.7 _7 _. __ __ <br />y S i r <br />• l�����. ' �� <br />,,.,, �,�:, — --- <br />rW� c Wn�xe:oo s -- <br />totnl fen -- <br />I.an �p0� Fee Penl S Jn / <br />�rinnre D�n S ��� <br />r- - ' <br />Boyden Real[y Inc. 1429 Broadway iiverett 9A201 252-1166 <br />Owner Mailing Addre55 Cily Zip Phone <br />J 6 D B�ilders 1429 Broadway <br />Applieant MaiGr � Address <br />DescribePronoseCWork New Sin¢la Fami1X Reaidenc� <br />Project Add�ess (II known� 118 - 94C.h St <br />Evere[t 982G1 <br />ciiy z�P <br />Everett <br />AtlaCh lo�r (41 coples ol plans lor proposeA work - Draw to scale and noto thu lollowing as epplicable� <br />• ProVerty line; <br />• Outtinc end dimnnslons ol all nxisting end <br />proposed sVuctures.,n Ihr lot <br />• Exisling and propoaed utillties <br />252-1166 <br />11 Cenlerline ol 6ireel <br />• Intlicate North <br />• Show any propos9d �radin9 chanqes <br />• Show measuremenis <br />Phone <br />PERMIT COf1DITIONS <br />1. A!I calls !or in�.pection shell bo mnde 24 hrs. in ndvence - phonc 259•881 5. <br />2, i\II work shall ho performed in accordance with ihis permlt and cuneN Cily ol [+eretl Desipn inA Construclion <br />Stendards nn;1 Spycifir,allona <br />3. Call Locetlon Underground Service 48 hrs belorc you diy.'fOIL FREE NUMBER 1•800•424•555Fi. <br />Cnnsl <br />FINALINSPtGiIUrv (\ <br />Ap��roved qs Cons�ruc!ed `.1 <br />cvrrett PUBLIC WOAKS DEPARTMENT <br />� 3200 Ceda� S�reet <br />Everett. WA �J8201 <br />Phone. 259��81 5 <br />�CKNOWLEDGEMEN7 JP COP DITInNS <br />W <br />� <br />a <br />� <br />� <br />� <br />� <br />� <br />� <br />� <br />� <br />O <br />a <br />The unde�siunrd owner/applicanl hereUy agrees I� i� �I� and save harnr <br />-- �— less ihe Ciry ol Eve�etl Irom any end all cl:�!ms la camayes, �:osis. <br />expense^. or r,auses ol nr,tlon Ihal may arise because ol mstnllation <br />7 �� _ ys. and maiNenance ol Ihe improvoment or olher right�o��way use hrieto <br />applied lor anA luriher aprees to remove same upon noUce (rom Ihe <br />Dale Ciry and to replece public property damaged Ihero6y. <br />��— '� '/ �' � JC' � /�'..' �". �)� b <br />D�tc 1 � , ��...- _ � -- _ <br />Signatwe ol Applicant` ���� <br />WORK P,UTHORI7.[D BY THIS PERMIT MU3T BE STARTEp WITHIN <br />180 D:�VS OF DATE PERMIT IS ISSUED AND THEREAFTEfi IS TO <br />�E GILIGENTLI' PURSUED TO COMPLE:TION. THIS PERMII IdAY (iG <br />Cr�NC[LLFD BV THE CITY UPON ANY STOPPAGE OF WORK ON TNIS <br />PR.'1JECT O': Eh 50 DAVS �UHATION. <br />O <br />-� <br />n <br />m <br />..� .-� <br />-1 �1 <br />r-� --1 <br />N S <br />v <br />m <br />cv <br />m o <br />-a c <br />O � <br />-i:� <br />S --i <br />m <br />n+ <br />oz <br />c <br />� x <br />M h+ <br />"� � <br />� <br />��-�1 <br />S <br />m .- <br />N <br />v <br />or <br />�N <br />N <br />2 C� <br />.� m <br />n <br />� <br />� <br />x <br />a <br />z <br />x <br />.- <br />cn <br />C <br />� <br />� <br />�, <br />