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Date 4/5/95 <br />Applicatiqn For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Puol¢ Worb P�rm�1 • <br />e�oo oeo� . 47968 <br />Pub4c Y/orxe iee <br />ivl �I Fee s <br />teee �ooi �ee vmo S <br />Baiance Due 1 <br />Silverwood L.P. 1�700 t7E 124th St Kirkland 98034 822-4174 <br />❑ MeJing Atltlre59 Cdv Lo <br />Phone <br />Pat Carroll <br />Applicent Meihng Address City Lp Phone <br />Describe Proposed Work New house - Bae1c 295 <br />Pro�ecf Add�ess (il knownl ¢�_.. <br />Attech f0ur 141 cOpies of plans lor proposetl wo�k � Draw in 5cale antl nole me followivg as epphceble: <br />• Proper�y LmaS <br />• Oulhne and dimensions of all exishng anA <br />proposetl slruCtureS on the lot <br />• Eristing and proposed ulilllles <br />• Cen�erline ol 5treel <br />• Indicale Norlh <br />• Show any proposed greding changes <br />• Shnw meaSUrBmEniS <br />PERMIT CONDITIONS <br />1. All ceDv lor inspection ahell be mede 24 hre. In advence - phona 259•8810. <br />2. All work ahall be peAormad In eccortlence with thle parmlt end current City of Everetl Design end Conatruction <br />Stenderde end Specilicetlone. <br />3. Cell Locetlon Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424•5555. <br />( �In` r.. y�,Dflk!' <br />I. � f NEOUIRE �:��.N . <br />�y_ <br />r�ql� <br />Approved for Construction Oate I <br />FINAL INSPECTION Dele <br />App�oveA es Conshucled <br />AG WOWLEDGEMENi OF CONDITIONS <br />W <br />H <br />� <br />� 1 <br />� <br />� <br />O <br />� <br />� <br />� <br />a <br />The undersignetl owner/applicanl hereby egrees lo hold anJ save harnr <br />less ihe Cdy ol Everell Irom eny end a'I claims lo� dameges. cosls <br />e�penses. or causes ol aclion thal mey erise beceuse ol instellnficn <br />and mainlenence ol Ihe Improvemenf or other nghl�ol�wey use herelo <br />eppheA lor and �urther egrees lo remove sema upon not�ce Irom Ihe <br />Ci1y and lo replace public pronerty damagnd thereby <br />Signalure ol AppOcanl <br />Da�e <br />PUBLICWORKSDEPAFTMENT WORK AUTHORIZED BV THIS PERMIT MUST 6E STARTED WITHIN <br />N; 3200CedeiSire:•t 1B0 DAYS OF DATE PERMIi IS ISSUED AND THEFEPFTER IS TO <br />� Evorett, WA 98201 BE DILIGENTLV PURSUED TO COMPLETION. THIS PF:RMIT MAV Bt <br />Phone: 259�8810 CANCELIED BV THE GiV UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAVS DURATICN <br />