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Date 4/5/95 <br />AppllcaUon Fa� <br />PUBLIC WORKS PERMIT <br />Print r� Type Unly <br />Silverwood L.P. 12700 NC 124t1� St <br />C,vner Madmg Address <br />Pat Carroll <br />Apphcant Mading Aderess <br />Describe Propos�d Wo�k <br />Kir6__nd 98034 <br />C�ly <br />�ew tiouse - Sasic 294 <br />n„ei.c wa��,. aermn . <br />B�ap Ovot � _� Ou - .. <br />vum�c wo�M Fe� f <br />TolelFre <br />less appi pnn Pei� S <br />Pa�..nre D.n S <br />� <br />82:-4174 <br />Z�P + Phone --- <br />Phone <br />Proiect Acdress 1�1 knownl _ _.. Site 16 Si1VeTwood <br />Allach lour 14) copies of pinr,s lor proposed work • Draw to scale and note �ne lollowmg as eppliceble: <br />• Property Lme� <br />• Outline and d.mensions ol all e�is6ng and <br />P�•:iposetl StruCtures on Ihe lpt <br />• FMisC:ng and proposed utilities <br />• C�nterhno ol sVeet <br />• Indicate Morth <br />• Show any proposad giedmg changes <br />• Show mea5uremenl5 <br />PERMITCONDITIONS <br />1. All calls Ior Inspection ahall be mede 24 hra. In edvance - ynone 26Q•B8i0. <br />2. All work ahull be perlormed In eccordence wllli Ihis permit end cunant City o( Everett Dealgn end Conet�uctlon <br />Stenderds and Speclllcallons. <br />3. Call Lvicelion Underprccnd Sarvice 48 hrs. belore you dlg. TOLL FREE NUMBER 1•600•424•5555. <br />�4LIC 1'���i NS PEPAl17 <br />h0� �.�.UUIRE� <br />Approved lor Consiruclion Date <br />FINAI. iNSPECTION DBIe <br />�pproved ns Cunsir�cled <br />ACKNUWLEDG[MENT OF CONDITIONS <br />W <br />� <br />� <br />� � <br />� <br />The undersigned �wner/aOPlicanl hereby agrees lo hold and save harm <br />less �he Gtly cr Everetl Irom eny and all cleims lor dameges. costs. <br />e.epenses, o� ceuses ol aclion Ihal mey arlse because ol Instullntion <br />end maintenence ol Ihe improvemenl or other righFobway use �ereto <br />epplir.d lor and further agrpes lo remove same upon nol'ce from the <br />Cily anA W replace public p�operty damagaA Ihereby. <br />Signalure ol /,ppl�cent <br />Oale <br />�� � PUBLICWOFKSDEPAFTMENT WORK AUTHORI2E7 BY THIS PERMIT MUST BE STARTED WITHIN <br />�F-� 3200Ceder5l•eet 180 DAYS OF DATE PERAIIT IS ISSUED AND THEfiEAFTER IS TO <br />�IM� EE DILIGENTLY PURSUED 10 COMPLETION. THIS PERMIT MAY BE <br />�)-- Evnretl. WA 68201 CANCELLED BY THE CITV UPON ANV STOPPAGE OF WORK ON 1HIS <br />Phone: 259�8810 PROJECT OVER 90 DAVS DUF4TION. <br />