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oa�e / b` P6 <br />Applicaiion For <br />PUBLIC 1NORI�S PERI'�'IT <br />Print or Type Only <br />Pu�i¢ WorF. Pey�rm�/,�l •/�/ C-��_ <br />H'a0 Oe01 � -¢--.Ll- . r7 / r__._ <br />Pub�n- Wmh� fee <br />Lnlel Fe� � <br />LeaeAON FeePe�� S <br />BnlenceDu! i �^7d� <br />Boyden Real[y, Inc. 1429 Broadway Everett 98201 252-1166 <br />Owner Malling Address City 21p Phone <br />J 6 D Buildere <br />Applicent <br />Describe PrOposocJ Work _ NeW S <br />1429 Broadway <br />Family Residence <br />Everett <br />Clry <br />98201 252-1166 <br />ProjectAddreasQi 4nown) o��...� � 77�� G. S�, �� <br />Phone <br />�Y7�L Gc <br />AI!nch Inur �4) copins ol plans lor proposed work - Draw to sr.ale �nd nofe Ihe lollowing es applical�la. <br />• Pioperty LIne6 • Cenleiline o� street <br />• Outline end Olmensions of ell eristing end • Indicate Norih <br />proposetl st�uctures on the lot • Show eny proposed gratliny cheng�s <br />• EMlsting nnd p„aosed �tililles • Show measuremeNs <br />PFRMIT CONDITIi�•NS <br />1 Ali calls for inspection shnll be made 24 hrs. In edvence - Uhone 2S8•BBi 5. <br />2. All work shall be perlormed in eccordxnce with ihis permit and current Clly of Evereu Design entl Conslruclion <br />StanAerds end Speciliceliona. <br />3. Call Locetion Undargrounn Servlce 48 hre. belme you tlig TOIL FREE NVMBER 1•800-424-5555. <br />4. Sidewalk a[ this lot ie new and •in�iroken, any damage to i[ m�iet be <br />replaced by the applicant. <br />5. Any grading on the lo[ is to be done so as not to impect [he eurrounding <br />lo[s ulth riin-water run-off. <br />� I:o�.�-� sorn�cs from the house �re to be ti�ld-lined [o [he drainnge system. <br />��.����.a,� ��y �g� <br />Approvad lor C instruc�ion Dete <br />���" � �'� <br />FINAL INSPECTION Dete ' <br />Approvod es Construcied — <br />�vrrett PUBLIC WORKS DEPARTMENT <br />� 3200 Cedar 9�roe1 <br />Evere�L WA 98701 <br />Phone: 259�8815 <br />ACKHOWLEDGEME NT OF <;pNDITIONS <br />� <br />W <br />� <br />� <br />� <br />O <br />Th�� unAnrsr7neA owneVapplicent heraby egrr.es to hold ond save h,unr <br />Ie55 �1�2 Cdy 01 E':PlEII ff010 eny and 011 CIBirt13 IOr AHTA92' i:otil; <br />CepA�5G5. 01 CAUSC9 0� 8L1100 �hBl AIPY 8lISB bQC2U5F OI rtr IIdLlinn+ <br />and mninlenence ol �he improvement or othrv righFo�-v,a�; u���� i�••��q�. <br />appfied �m and further agrees to remove same upon n�,i�. ,. i,���„ �n,. <br />Ciry nnd to reVlar,e public property damegetl thereby. <br />� y/ i <br />� / ,— (.� � �� � . . ( - <br />. <br />Sipnatu�e of Applicanl ' Uaie <br />WORK AUTHORIZED BY THIS PER��IT MUST BE STARTED WITHIM <br />1B0 DAY'S OF DATE PERMIT I;i ISSUED AND THEREAFTER IS TO <br />F3E DILIGENTLY PURSUED TO COMPLETION. 1NIS PERMIT MAV BE <br />C4NCELLED BV THE CITY UPON ANY STUPPAGE OF WORK ON THIS <br />PPOJECT OVER 90 DAYS DURATiON. <br />