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� <br />� AOdicalwn For 7 1 G—N 7 <br />PUBUC WORKS PERMIT �a,e — _ —_ ---__--_--____— <br />PUBLIC WORKS DEPARTMENT Public Works Pertnit N_�_(�GS� __ __ <br />3200 Cedar Slreet <br />Everatl, WA 98207 2ss-eeio � Building Permit N__ 55964 <br />TYPE OR PRINT ONLY TO POSTI NG ""R "=--- public Nbrks Fea S__� �__ _ <br />Ken Long 13000 Hwy 99 S Everett WA 98204 356-2700 <br />Owner Malling Address City 2ip Phone <br />Larry Jonea 742-1166 <br />App iwnt Mailing Adtlress <br />Describe Proposed Work <br />new house <br />PROJECT ADDRESS (if known) �� � 73rd ST SW <br />City <br />Lot 9 <br />Attach four (4) copies of plans lor proposed work - Druw to scnie and note Ihe following il appliceble: MECHANICAL BO. �0 <br />•Property Lines "Oulline nnd dimanslons ol all existing nntl proposed stmclwes on the lol •Existing�d ut�1�9� <br />'CeMedine ol sireet •Indicato NoAh •Show nny proposed grading changes •Show measure��(��Y [Q. � <br />uu rv� i wni i e new�rv i nia urvt � 9494 <br />PERMITCONDITIONS: ER 105.00 <br />1. All calls for inspection shatl be made 24 hours in advance - phone 259-8 ����a <br />2. All work shall be performed in accordance with this permit and current Ci �verett �sLqn and <br />Construction Standards and Sper,ifications. ru w <br />3. Call Location Underground Service 4B hrs. before you d�g. TOLL FP.Et IV�I{d1�R�b�-�4-5555. <br />TUTAL 2969.63 <br />;: �� � n� n• � � I• �n ,�i an iun •� p� CHEK <br />i lu lr ,.�uUri ,md .iJ; �.:dl, ui Ihr pLU air ur�� anJ unQ;wiat': d. ;nn d:uual'e lhcielA .Irill L�.Sicplae:d al 16: <br />6 ci:uun ol Ih; I'ub6r 1l'mL In:p:•clm. <br />,1nv cliau��r m Ihr dmru;i� rui inn•� U: appin�cd bt Ihr I'\�' Iny�, � io�. �cidth ai pia�i hnc liuukd In <br />ni•iiur ,ipi��u «idlh. <br />1�I�ii�t ���:rt�;i b„xe� to H�arlr al tnd nI concttUction <br />I�in' �u-it •;hall b' unnpkt, Ic i nr:d hrtoir dntiip � n thciu <br />L".L,i� ,li mi.i . Icill ;�; ,L ,Icu� . J t�, ih; u:' t�.ini ,Ii;uii �.t: ni i��in:U.• ai p�,'di� ) <br />^ y �: <br />7 _ <br />A �rove� <br />�'� �7a <br />Date <br />Apprw��d as Conslructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applican� hereby agrees to holA and save harmlass <br />�he City of Everett fmm any and ail claims lor damages, costs, expensas, or <br />causes ol nction that may arise becauso ol installatlon and malntenance of <br />the improvemnnt or other right-ol-way use hareto applied I.�r and lurthar agrees <br />lo remove same upon nolice from the City and to replace puWlc proparty <br />WORK AUTIIORIZED BV THIS P[RMIT MUST BE STARTED WITHIN 180 DAYS OF DAiE PERMI7IS ISSUED AND THEREAFfER IS TO BE DIUGENiLY PURSUED TO <br />COMVLETION THIS PERMIT MAY BE CANCFLLED BV THE CI7V UPON ANY STOPPAGE OF N'ORK ON THIS PROJECT OVER 90 DAYS DURATIUN. <br />