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Date Juno •' 5, 1990 <br />P opi...ats `i <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Public Works Permit a <br />aidg pool a 9D/749S7 _ <br />Public Worka Fee <br />Tabs Fee s <br />Less APPI Fee Paid S <br />Balance Due s 7 0 <br />Stepkng Homes NW 12407 Makilteo Speedway Lynnwood 98037 742-6544 <br />Owner Malting Address City Zlp Phone <br />Owner <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work glY­ 41 A---- All xFX <br />W <br />Project Address fit known) 1'+13 - 67rd cr SG <br />_ <br />Attach four (41 copies of plans for proposed work • Draw to scale and note the following as applicable: <br />s» <br />• Property Lines • Centerline of street <br />r^ <br />• Outline and dimensions of all existing and • Indicate North <br />W <br />proposed structures on the lot • Shear any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />00 NOT WRITE BELOW THIS LINE <br />CONDITIONS <br />PERMIT 09/19/90 1:34FN OOOAW.?? ;ti <br />1. All cells for Inspection shall be made 24 hrs. In advance • phone 259.881 O. i <br />2. All work shall be performed In accordance with this permit and current City of Everett Deai%"�?truction <br />Bill <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs, before you dig. TOLL FREE NUMBER 1.80041210.5555793.50 •' <br />PLEG $110.00 <br />MECH 111180.00 <br />id -II 16d I Iil',ll)l I till 11 Il,f.l 11111 1 1l1 11 I.' 1 II 1 1 PLNI EH' I I'll 643.22 <br />O <br />I � I Idl III i,l �I;I LIn ld lrr•n'I-� I ail I i,i.� �.i .I i. i iuB tsmH II livim1 <br />DRWil' $20.00 <br />1100027938 <br />SEWER $30. DID <br />d /� <br />END 1 $559.30 <br />�/♦ <br />1171-5 $949.00 <br />O <br />000007015 <br />WIFF $650.00 <br />an <br />CHECK 53341.52 <br />Al ` lcc� <br />7 - G - `� <br />Approved for Coheir clion <br />Date <br />FINAL INSPECTION <br />Date <br />Approved as Constructed <br />rvnn•u <br />PUBLIC WORKS DEPARTMENT <br />Cedar Street <br />Everett, WA 98201 <br />Phone: 259.8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/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 causus of action that may arise because of Installation <br />sod maintenance of the improvement or other righl-ol•way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace public property damWd thereby. <br />Signature of Appl 1--- Date <br />WORK AUTHORIZED BY THIS PERMIT MUS.- BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />