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--� <br /> � <br /> r <br /> Applkatian Fp / <br /> � PUBLLC WORKS PERMIT Det° �19-98 <br /> ri <br /> PUBLIC WORKS DEPAR'AENT Publk Worka Pertntt� ,i �Z� <br /> 3200 Cedar Sireet w I <br /> Everetl,WA 88201 02�59-B81Q, i�,.i,l Bulldinp PermN 11�`�Qz'�l_— — <br /> � r�p <br /> TYPEORPRINTONLY T� POSTING -=--- publbWorkaFee� <br /> Y �:, � , .� _ �.> _ s ., �. �� : ��, <br /> Q bJ (�-1 '� V tn ::: li) '. b� �� ti [- l.� <br /> v �. . �n u w <br /> Adventure Conetruction 22928 57th Ave SE iib8�7i4�3�l;ie 4�6�!$; ��-"�i8b-7�15 <br /> :u - <br /> Owner Malllnp Atldress CMy •�� ZIp .. r,p� <br /> fll <br /> n > <br /> Owner L o �o m w �. .`; :r' <br /> Appllcant Malllnp Addrese � _� � �-- c� .�Ip �- � '� `phone <br /> ":. a u5T' :`� �i �`i �as 3 aui � � I <br /> De.crlbe Proposed Work new houee - Baeic 2006 � <br /> � <br /> � <br /> � <br /> PROJECTADDRESSpfknown) 625 109th_Pl SE Lot 1 SP /32-94 � <br /> Anach lour(4)copies ol plana for qoposad wo/k-�rew to scale end rwte the folbwlnp If epplMable: O <br /> 'Proparly Lines 'Oulllne and dlmunslone of all eKlating end proposad etiuctures on 1M bt 'Erlsting and propoaed utllHlee <br /> �Centarlina of street 'Intlketa North 5how any proposed preding chanpes 5how measuremante � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. All calls for Inspectlon shall be made 24 hours In advence-phone 259-8870. <br /> 2. All work shall be peAormed in eccortiance with th!s permit and current City of Everett Design and O i <br /> Construction Stendards and Specificetlons. <br /> 3. Cell Locatlon Underground Senice 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-6666. � <br /> �{' , 'Rs�o �' �� f�o{� '� 5{�x wi d-r�1Y1 S�+b �rv�;dP,d O <br /> � lot; <br /> a <br /> � <br /> 6 <br /> .�-�g,�� <br /> ACKNOWLEDOEMENT OF CONDRIONS <br /> 8 � The undersigned owr�/applkant hereby egraes to hold uM eave hermlees <br /> Ihe Clty ol Everelt hom eny antl ell cldma fw damepes,eoeta,e�penaes,a <br /> vad fw Conet/uct4 n Dele cauxa of adlon thet may erlee becauae ol Inelalletbn end malntenence of <br /> � — the Impovernenl«alher rigm-a-way ux hereto epplad fa and hxther epaa� <br /> Q / ta iemove same upon rwtke Ircm tM CNy and to roplace pudk property <br /> l�•�. �B �`_�6'— �B demepedthereby. <br /> FINAL INSPECTION Dale <br /> A�mved as Constructed � ^- � ��� <br /> �/� <br /> Spnetuie Icent pete <br /> WORK AU7HOHIZED BV THIS PERMIT MUSi BE STARfED WITHIN 1B0 DAYS OF W�E PERMR IS ISSUED AND THEREAFTER 19 TO BE DILIOENRV Pl1R9UE0 TO <br /> CAMPLETION.THIS PERMIT MAV BE CANCELLED BY THE CIT'UPON ANV STOPPAOE OF WORK ON THIS PRQIECT OVER BO DAYS DUR�TION. <br />