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� �licelion For <br />PUBLIC WORKS PERMIT De�° �-�z_--- <br />PUBUC WORKS DEPARTp�ENT Publlc Works Pecmit N_� �/� �U ____ <br />3200 CeCer Sireet � <br />EveretL WA 98201 259-BB10 Bullding Permit N_ SS ) I 9_ ___ _,____ <br />TVPE OR PRINT ONLV f 0 PO STI N G� 3 0 � Pubiic Nrorks Fee 0__� �_ __ __ ___ __ <br />Welch's Conetruction 6332 76th Dr SE Snohomiah 98290 337-3528 <br />Owner Malling Address City Zip Phone <br />Owner <br />Describe Proposed Work ._, <br />Mniling Address <br />new house <br />PROJECT ADDRESS (i1 known) __ <br />Phone <br />07�1-97 8:39AM <br />El11LDIl#i 632.80 <br />--��i� - - — — -�ttltilR`i-�:00___- <br />�it�99th P1 SW Lot 8 N,ich�lQwWiRA6diila00 <br />' � ti.� <br />Attach four @� copies ol plans for proposed work � Draw lo scale antl note the lollowing II applicable� (�I:kIiAY �. � <br />'Property Llnes 'Oullina ond dimensions of ell exislmg antl proposad structures on ihe lot 'ExisOng MnC proposed util�IjQe <br />•Centedine ol slreet •Indicnte NoAh •Show nny propased grading changes �Show measure�Qi i�`J.� <br />Y l��ee <br />DO NOT WRITE BELOW THIS LINE �� �Q�� <br />PERMIT CONDITIONS: UTILITY DEV <br />1. All calls for inspection shall be made 24 hours in edvance - phone 259-8810. b�� <br />2. All work shall be perlormed in accordance with this permit and current Ci�E�et�s� and <br />Cor.struction Standaids and Specifications. T�T� ��� <br />:+. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE N�l�i� A t• • 4-�EK <br />A OM 727 <br />F�,.,.�, rm :h-�.�, r�..:m a� :dl hnr•• <br />e'uib ��uUn aud .idrµ�dA iu �b� pl;n ;uc ;�� anJ iwdai .���cd. ain daiva��c Ihcidi� .liall be iepL•��ed a� <br />1i arhnu ul tlic I`ubhc P'o�{:= In p:elot <br />�. Vw chan�•� ui the dm•rw,rv nn �mi:t bt nppio���d bV U�e I'u' lucpeclot <br />,i•nu�, apion �ridth <br />����II�'! R"11^I ��n�('c ro�•�ed^ a� CIII� n� f011�1lIll'1I0f1 <br />i nn; wr� •,haG Lc cowplr�ek iinrd bcloie dnvm� an ihem. <br />' }t..,.;t�,�� di���u:c: fr,dl b: di char.d tn thr ;it�•': :tnnn diniu sti,icm <br />�6-t�I / �M <br />C/�/ 1.r4�„! _ J-�^-- <br />A� pr�d fo�Construclion <br />3-�t� -�.- - <br />FINAL INSPBCTION <br />Approved ns Conshucted <br />� <br />�� � f_z <br />Date <br />��' �3 '� � <br />Da1e <br />wid�h nl prop hne limilyd In <br />W <br />� <br />,�A <br />VA <br />� <br />O <br />� <br />� <br />O <br />r�7 <br />ACKNOWLED6EMENT OF CONDITIONS <br />The undarsig�ied owner/epplicent hereby egreey to holC and seve harmles9 <br />the City ol Everett Irom eny and ell clxims lor demeges. coets, expenses, or <br />cnuses ol ection ihat mey ensa because of Installation end meintanence ol <br />Ihe improvement or olhe: iight �ol-wey usa herato applied for Bnd IuAhe� �;�rees <br />to remove same upon notice from the Clty antl to replace public property <br />damaged thereby. <br />����.�.�K W,��,.� � i�� <br />S�gnatur I Apphcant Dele <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN IBO DAVS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIOENTLV PIIRSUED TO <br />COMP�ETION THIS P[RMIT MAV BE CANCELLED B� TNE CIN UPON ANV STOPPAQE OF WORK ON THIS PROJECT OVEP 90 DAVS DURATION. <br />