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Date 9-29-94 M , <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />IN <br />POSTING FEB Z 7 1997 <br />P,ml,e Wen. Perron .. i 1/y� <br />Bldg peel • 45711—'/ <br />Puhl,c WoFee <br />To1•I Fen:e S <br />Leaf:PPI Fee PSA s <br />ee0lnce Ova S <br />Doryan Const PO Bo': 2153 Everett WA 98203 290-6680 <br />I Mailing Acwess 1-- Zip Phone <br />Owner <br />Applicant h�.,lor aAddress Cev Zip Phone <br />Describe Proposrd Work new B unit condo <br />Project Address (if known) _lrS,7y,(S_ SAC_ <br />Attach four (4) copies Of plans Inv proposed wo-e Drav: In wale .Inn role tho lonowmg as anpbcabie. <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 • Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hire. in advance - phone 259.881 O. <br />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 firsbefore you dig. TOLL FREE NUMBER 1.800.424.5055. <br />�. A7 � 7(`%�/Owes 17�A�ii �ttGG3 ►2/�y/� 09,11,95 *;)0,::i <br />i <br />OW045711 <br />KDO S2228.7K <br />SS.CHRG 44.5'. <br />PLN CH $509.6D <br />4000N680 <br />WATER. $2484.0' <br />M00030345 <br />SEWER 170.M' <br />5'SM L5008.00 <br />M30094399 <br />.7 <br />Approved as Constructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259.8810 <br />Date <br />O <br />a <br />ACKNOWLEDO(tNT OF WhIlitfIONS <br />T h„undersipned wnerlapphc i�J jBuy a, hold and save harm. <br />Gt verelt from ahYsava d aM-Ld l for damages. costs. <br />s of act 'id <br />" mfiy4fhYe 69cause of installation <br />^ 1,.i�. i� i • the improvement or other right-ol•way use hereto <br />:c l� I a In agrees to remove same upon notice from the <br />' • r:. i i,• , 1, �Libbc property damaged thereby. <br />Signature of idblicant Dale <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENILY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BV THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />