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� PUBLIC l( DRKS PERMIT <br />City of Everatt Pubhc Works Department <br />-,, ,;..,,, . . 3200 Cedar Street <br />� "' Everett, WA 98201 <br />(425�257-8810 <br />OWNER NAME AND ADORESS: <br />MOUNTAIN VIEW PROPERTIES <br />781 16TH PL <br />MUKILTEO WA 98275 <br />PHONE: 4252399924 <br />AX PARCELID N 2805300040190 <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HOUSE - ADAIR BASIC 324 <br />Date <br />Public . ✓orks Permit #: <br />Buildinq Permit #: <br />Planninq Reference # <br />Public Works Fee $: <br />Other $ <br />APPLICANTNAMEANDADDRESS: <br />PHONE: <br />SITE ADDRESS: 1515 126TH ST SE <br />4128/2009 <br />Pwosoa-oa� <br />C0904-012 <br />I.OT 4. SHORT PLAT <br />PERMIT CONDITIONS <br />1 All calls for �nspection shall be made 24 hour� in advance <br />2 All work shall be performed in accordsnce wnh lhe permil and currenl Gty of Everett Design and ConstrucUon Standards <br />and Specdications <br />3 Call Location Underground Service 48 hrs belore you dig TOLL FREE NUMBER 811 � <br /><_!c'� ' <br />� j" j}����%/l�Y` <br />, <br />�' , � %',/I% _ �.�'. �!' <br />%� � • <br />/ri!- � /./(� i"�. <br />—r �1j LI.L��' (c� �`�� ��•`�� �� <br />Approved 10� Construclion ate� <br />FINAL INSPECTION Date <br />Approved as Conslructed <br />,!'� _`:(%1�/i``�l..-:� j � , <br />w <br />� <br />� <br />� <br />O <br />� <br />z <br />0 <br />� <br />� <br />0 <br />a <br />n�krio�vi�oc�raENr or coraonioNs <br />i he undersigned ewnerlapphcant hcreby agrces to huld and <br />save harmless Ihe City ot C-vcrelt from any and all Gaims lor <br />damages. wsls. ezpenses. or cause, of action that may anse <br />because ol installahon and mainlenan � ol �he improvemen� <br />or o:her ngh4of�way use hereto apph:�d lor and lurther agrees <br />to reinove same upun �otice hom Ihe Gty and to replace <br />public property damaged thereby <br />SignaWre ol AppGcant <br />Dale <br />IYORM, AUTHORIIf U[3v TNIS Pf RNIT �1UST !iG STAHTED \VITHIN 180 DAYS OF DATF P[RMIT IS ISSUED ANU TN[REAFTER IS TO BE DIIIGENTLY <br />PUR4U! I� IO C(.�I4I'I I-IIOfJ 1HI5 VI N'•11i t-0AV !31 UNCCI l( D H7 TH[' CIIY UPON ANY STOPPAGE OF 1VORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />