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Ir1'1//� AOPIiCAf�011 fd . .. . �_ <br />C PUBLIC WORKS PERMIT oA�e 6-73-97 <br />PUBUC WORKS DEPARTMENT Public NbMs Permit M__� //' 'I � <br />3200 Cedar Street - - <br />Everelt. WA 98201 259-8g]�,, <br />►IM �{ � � BuildmgParmllll . 55717 <br />TVPE OR PRINT ONLV T� POSTI IVG — �,�b��� w�,�9 F� s � J <br />Welch's Conetructian 6332 76th Dr SE Snohomish 98290 337-3528 <br />Owner Malling Adtlress p�t — <br />Y ZiP Phone <br />Owner <br />Atl.lress <br />Describe Proposed Work _new house <br />�'r Phone <br />----- --------- 07-01-97 8:25AM <br />-------- --- 33729 <br />—1F-- — <br />PROJECTADDRESS(ifknown)_ _ 229 99th_Pl SW __ ___ Lot 5 �'��[�ow <br />Attach four 14) copies ol plans for proposed work - Draw to scala end nole the following if epp�icable: H; <br />1£CFIANICAL 60.00 <br />•Proparty Lines �putllne pnd dimensions ol ell eMisting antl proposed structures on �he la� •EMisting �/�(�p utillj�Q <br />•Cenlerline ol slreet •Indicnte Nodh •Show any proposed grading chnnges �Show measurer���i �. � <br />V OL7A <br />R� <br />..v i.v i rmn c oCLvvv I I'lIJ LIIVt �� 1��� <br />PERMIT CONDITinNS: M 31161 <br />1. All calls tor in:;poction shall be made 24 hours in advance - phone 259-88� ��.� <br />2. All work shall bE p>rformed in accordance with this pormit and current Cit��rqr�esign and <br />Construction Slandards and Specifications. <br />3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREh I��fl��:�_�5. <br />T� 'AL 2716.30 <br />CHEK <br />� �'rr�� � m�nr..i, �.�..m ni :dl iun••, A OM 721 <br />� wb �.uu:i :md .id�N.Jti w Ih� pl;d :u: u.�� aud .J:uuacrd. ;un �lauiurc Ih�irlo .ludl Le i:yla�eJ :u tl <br />li ariinn nl tl�; Pnbhr ��.'nil.; lu-p:crot <br />� �m ch�uirc ro th� dinrµa� iw inu�� br nppinvrd b}� Ihe I'u' Imp�ctoi widtli m pinp lu�c lui�nrd to <br />,i,liie ;ip�on wid�h <br />+.,Ipicl N'AICI II��Yf• v� �.tad� al tnd ol cn�i�lmcl�np <br />� m�rµ,n. .hnll i�: u�mplctnc �wrd h�•lorc dnw�r ou �hcia <br />_ry.y ,'� iiu:r•. h;dl I� �h ;Iru,,�l in ih •:itr'. :ionn di:un t r:ni <br />.Zs�i7 <br />� ��� y� �� �� <br />Appmved lor b,nstniclirn� � <br />�.�� �-.- <br />PINAL INSPEGTION - <br />AGP�oved a5 Conslructed <br />//��_! 7 <br />____ . ... . ... <br />D'JIP <br />ACHNGWLCD(iEMENT OF CONDITIONS <br />Th�• undersigned owner/apphcant hereby ngrces �o holo nntl snve he�mless <br />Ih� Cny o� Evwelt from any and all claims for damages, costs. eKpenses, or <br />causes ol action thal may anse because ol inslalla�ion antl main�enence of <br />Ihe improvemenl or other right-ol-way use hereto applied lor and lutlher egrees <br />to remove snme upon notice Irom the City end to reploca publlc propeny <br />d9mageA Ihereby. <br />Signatu f Applicant � � � � /'�� <br />WORK AUTHORIZED BV TNIS PERMIT MUST B[ STARTED WITHIN 180 DAVS OF DATE PERMIT IS ISSUED AND iHEREAFiEF IS TO BE �ILIOENiLV PURSUED TO <br />COMPLETION. THIS PERMIT MAV BE CANCLLLEU BV THE CITV UPON ANY STOPPAQE OF WORK ON THIS PqOJECi OVER 90 DAVS DURATION. <br />