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t <br />nppl�cat�on Fw <br />PUBLIC WORKS PERI4�IT <br />PUBLIC WORK£ nEPARTMENT <br />3200 Cedar Streat <br />Everefl. WA 98201 259-8810 <br />TQ POSTING�+ 9 � <br />N <br />Ll -- <br />�e. _—_ —����9� -- <br />a`�i�w«�sa��,n. -�'��31�3 _ <br />W <br />�id�ny Permn « _ ___56704 <br />TVPE OR PRINT ONLY ' Publ' Nbrks Fae E_Z� <br />�.t iri c.+ o<� �.: o� -� c i-�, o•.:� in ir5 <br />O�� O O L') c.:. ��� O.al V'_• c: �, J U� <br />b7 [— . h"1 • ('J •1 <br />WELCN NESLEN 6 JANET 6322 �� �R�„i �E�10 lt�L�l ���0 3; 337-3528 <br />Ownar Mailing Adtlress City "� '� 2iP�� Phone <br />Applitanl -- <br />Describe Proposed Work __ <br />ir- <br />Mailing Addresa � � � �� �� �. rt�,, <br />-ia aF1',t� �cn��a�a�a <br />NEW HOUSE - BASIC 1230 W/BAY <br />PROJECT ADDRfiSS (i! known) ? 33 <br />Atlach tour 14� copies of plans lor proposad work - Draw to scele end note the lollowing il appllcable: <br />f' <br />'S MEADOW <br />•Propeny Lines butllne entl dimanslons ol ell a�isting end pmposed siructures on Ihe lol �EMlsting end proposed u1111tias <br />•Cr.Nerline of street •Indicate North °Show any proposed arading chenges �Show measurements <br />Pr iMIT CONDITIONS: <br />1. All calls for inspertion shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be peAormed in accordance wlth this permit and current City of Everett Design and <br />Construction Standards and Specitications. <br />3 Call Location Underground S�rvice 48 hrs. before you dig. TOLI FREE NUMBER 1-800-424-6556. <br />Apprcived�ui Cnnsinic�ion <br />/,5 . ��'�� �� <br />FINAL INtiPI C710N <br />4pFnavPA ds Cnn5lrur�Od <br />--,���� f9� <br />.2 -!G - "ET <br />Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Tha undersigned owner/applicant haraby egrees lo holA end save hartnless <br />Ihe City ol Everett Irom eny and all cleims lor demagas, ;osts, ezpenses, or <br />cnuses ol actinn Ihal mey ailso bacause ol Installation and maintenance of <br />the improvement or other righl-of-way use Mmto applied Ia and fuAher agreea <br />to ramave some upon notice hom the City and to replace public property <br />damaged Ihareby. <br />Si na re ol ��— — <br />B �Plicant Data <br />WOHk AU INORIZED BV THIS PERMIT MUST BE STARTED WI7HIN 1 BO DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILI6ENiLY PURSUED TO <br />COMPLF iiUN THIS PERMIT MAY BE CANCCLLEO BV THE CITY UPON ANV STOPPAGE OF WORK ON TH�S PRQIECT OVER 90 DAVS DURATION. <br />