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cue��c worx�Pe.m,�. <br /> ��9 <br /> Date_ 11=15-94 � �- _C 46221 <br /> '1( - 1 r� Biep OeO� • <br /> �TIPI �_ ! <br /> qpplitatio� Fa — -- <br /> pUBLIC WORKS PERMIT '"°"`W°'""° � _- <br /> iouiFee <br /> lee����I Fe�Pe� 6 <br /> .. , e.a�c.o�. f 7� _ <br /> Print ar TyPp �^�Y <br /> Moe Nomea 13314 47th P1 SW Mukilteo 98275 743-3431 ' Zp ph�nP <br /> — MaiHng Addree's C��y ' . <br /> Ownei , ' ,. , <br /> ` <br /> Owner . � .. ' ;' .. . ., . , .. • . ---� <br /> ApGlicant Mt'�'md�ltldress <br /> Ci�Y Lp Phone <br /> new hoaee _--.-- —- <br /> Describe Proposed Wo,�k _------- _ <br /> _ --- W <br /> 619 107th P1 SF. 7 __ Lot 4 Fathy's Addn � <br /> Prolect Addre6s lil knownl ------- -- � <br /> Attach lour 141 �opies o� P�e���. �or Droposed wo�k� Draw lo scale and no�e�he�ollow�ng as epphcahle�. � <br /> • Genterlme of sM1eet <br /> � praperty Lines � Indicale North <br /> • OuUme end d�mensions ol all exwlm9 and � Show any proposed graAing changes <br /> proposed 5truc�u�e5 0� �h9�o� � ghow mea;uraments M <br /> • E.iqting end proposad ulililie, W <br /> DCI NOT WRITE BELOW THIS LINE O <br /> PERMIT GONDITIONS � <br /> 1.All calla b�In,pection shall bo made 24 hrs.in edvance-phone 259•8810. <br /> 2.All work ahell be pedormed In eccordence with this permit end cwrent City of Everett Design entl Conatructlon <br /> Stenderda end Specflicetions. �) <br /> 3.Cell Locetlon UnJarground Servica 4B hra.before you dig.TOLL FREE NUMBER�•8�0•424•555 . r. <br /> 1 Inslnll inck rnn�liuchmi rulien�•e brlwid Anvtwm e+ pri city slnnAnrd q208 enA ern�imi conhol n? durckd b. O <br /> PUbfi� �l'u�F.� lu�pc�lu�. <br /> c M.eep ciry strerts clenn nt nll umes � <br /> n �'urb ntter enA sidrwelk m ihc pint a�e nrw end mi<lemeoed. airv damn?e d�r,ruo shhll be �eplaced et Ihe � <br /> di+cicliuu uf Ihc PubGc V.'o�ks Iu.;Ft�lm. <br /> � Am� rhnn�e in the dm�ewtrv cat muct he npproved by the PW Insperlor. wiAth nt prnp line limited tn c�ristin" O <br /> ep�ou widli�. <br /> g :1dju>•r a�atcr ho�c•tn prnAr at cnd �f con�tniclion � <br /> v Ilnvew�rv� shnll br complalely cured brlorr d�mne mi dirm <br /> 10 ;uuflup di;rinuR�c ,I�all Lc �G;cha�t•,e��. <br /> . to thr +•itc'= �ioim drnin ry�tem (pri�•nte er publicl <br /> . �o e rrsideunel ioot dowu:pou� >N�Itnl ddslPllcd(ICf seC�lou •I-Y d ul lht ntV slalule�ds <br /> . Ulllu •�lIO:It LIo[�.� A��NRyJtEDGEMENT OF CONDITIONS <br /> �.$ �'hP IfIPII1��I 4CICC�CII WIII I1P l�lA�EfI �� P�IIIIIf W�fk ThePCnAP.•i5i9�eA oW er/18pGlican�her0by agrBeA 10 holA and save harm <br /> �"W/! l7 �r9 -- — tess Ihe Cdy o� Evaretl Irom eny end all cleims lor dameges, cosls <br /> �-__�-��--- <br /> e.penses. or r.auses ol action thel mny anse �.eceusa of inslallebon <br /> — ����--- // / Q / and mainlenance o� Ihe imProvement or other nghl�o6wnY use hereto <br /> �� epplied lor end �urther agrees to ramove same upon notice Ironi the <br /> ��— Dale Cily ai�d�o rep�NCe puhlic p�oPerty damaged thereby <br /> qpp�ove Co�sl:uctio� �/ <br /> . /r / <br /> � � '(�....i �cQ/— /7� �� <br /> Dnle a�P <br /> (Fi'.,�j, T � yrtnWre�lAPPlicant <br /> q��ru+�d a,ConslructeA WORK AUTNOR�2ED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � PUBLICWORKSOEPARIMENT 1B0 UAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> ��� 3200Cadar SVaet BE DILIGENTLY FURSUED TO COMPLETION THIS PERMIi MAV BE <br /> Everell.Wp 9B2ii1 CANCELI EU BY THE CITV UPON ANV STOPPAGE OF WORH ON TH�S <br /> Phone� 259�BB10 PPQJECT OVEi7 90 DAV$ D'JRATION <br />