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Date 10-4-93 <br />AppliCa�ionFor TO POSTINu. �� <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />� v�ni�.-. wo��. r�,mn . / J � rJ -- <br />"�� e�ay Daoi • 4'1241 <br />Puobc wod� Fee <br />TOIPI i!p `� — <br />Les� �oo� f�e P��E s_�_ <br />BU�nce Oue S '� n <br />Greg Owene 6901 i,�c�er Ridge Rd Everett 98203 347-6436/266-6008 <br />owner <br />Mailing Atldress <br />Cily Lp <br />Owner <br />Applicent � Ma�ling AtlAress City 2ip Phone <br />Describe Proposed Work _ n¢w duplex Lot 3 short plat 43-91 <br />Projee� Addre�ss (ii known) <br />Altach lour (4) copies oi plans lor proposed work • Craw to scale and note Ihe following as appGcable: <br />• Properly Lines <br />• Oullme and dimensions of ell eKisting and <br />proposed struclures on the lot <br />• Ezisling and proposed utllities <br />• Centerline ol slreet <br />• Indicate North <br />• Show any proposed grading changes <br />• Show measuremenis <br />PERMIT CONDITIONS <br />1. All calls lor Inspectlon shall be mede 24 h�s. in advance • phone 259•8810. <br />2. All work shell be pedormed in accordance with this permit and wrrenl City ol Everett Design and Conetruction <br />Stendards and SpecilicaUons. <br />3. Cell Location Underground Service 4B hrs. belore you dir�. TOLL FREE NUMBER 1•800•424•5555. <br />�� .�>��!'T—�c ����/ _�� <br />Approved lor Construction' ale <br />S/ /� <br />�' �� r:�(� �l�"/j- �y <br />FINAL INSPECTION Datc <br />Approved as Constructed <br />�� PUBLIC WORKS DEPARTMENT <br />,��3200 Cedar Street <br />Everell, WA 98201 <br />Pnone�259�8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned owner/apphcaM hereby agrAes to hold and save harm� <br />less Ihe CAy ol Everett Irom any and all claims lor damages, cosis. <br />ezpenses, or causes ol adion �hal may arise because of installetion <br />and maintenance of the imp�ovement or other nghhol-way use hereto <br />applied lor and lurlher agrees to remove same upon notice Irom the <br />Clty and to replace pubhc roperty dameged thereby. <br />. — <br />Sgneture � plicant Da e <br />WORK AUTHORIZED BY TiiIS PERMIT MUST BE STARTED WI7HIN <br />180 DAYS OF DATE PERh11T IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTIY PURSUED TO COMP'.ETION. THIS PEFMIT MAV DE <br />CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORH ON THIS <br />PROJECT OVER 90 DAYS DUFATION <br />