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Date 4-28-94 L E i Wonx Permd <br /> Anplicnlien For d TO POSTING. aura pep' x 44237 _ <br /> PUBLIC WORKS PEJIMIT Pt,ot,obi <br /> S[J leu�pn�Fee Peep S '^ <br /> u� Q g g ®anis Ope S �✓.•_ <br /> Print or Type Only <br /> 1 ppd., m o o " o Ilr�r <br /> O O M p M M <br /> Countrywood Homes 14410 Bel Red Rd J2n , .Hellevue WA �+00I° 644-12323 <br /> rroM Owr i Abr in. Ara less <br /> Owner ^- Phone _ <br /> ' Pri <br /> Applicant Marling Address City Zip Phone <br /> Describe Proposed Work new house_ <br /> Lot 19 Powder Mill Highlands <br /> W <br /> tProtect Address lit known) 2628 58th St 8W <br /> CCC --- --- <br /> Attach tour(4)copies of plans for proposed work Dmv:to sral-dnd note the following as applir-ame: <br /> • Property Lines • Centerline of street <br /> • Outline and dimensions of all existing and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities 0 Show measurements <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All calls for Inspection shall be made 24 hrs.In advance-phone 259-8810. si <br /> -F 2.All work shall be performed In accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1.800.424.5555. z <br /> O <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The under sinned owned/applicant hereby agrees to hold and save harm- <br /> less the City of Everett from any and all claims for damages, costs. <br /> expenses or causes of action that may arise because of installation <br /> and maintenance of the improvement or other right-of-way use hereto <br /> applied for and further agrees to remove same upon notice from the <br /> Approved for Construe n Date City and to replace Public prrrooperttyy d�am�ageedd"thereby. G <br /> J>•/6 <br /> FINAL INSPECTION Da/ to <br /> Approved as Constructed 61griguie of Applicant Date <br /> I&MPUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200 Cedar Street 180 DAYS OF DATE PERMIT 15 ISSUED AND THEREAFTER IS TO <br /> Everett WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Phone:259-8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />