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p <br />ApldicFor <br />OL PUBLIC WORKS PERMITS— 1/21/98 <br />PUBLIC WORKS DEPARTMENT p lic Works " a mlt N 61® <br />3200 Cedar Street <br />Tr1 DnC T v If. W 98201 9.8810 <br />I J 1 9 �y B Cding Permit It __57691 <br />TYPE OR PRINT ONLY p <br />Public Fee S fi0 <br />pp pp oo ,Work, _ <br />SKYI THE HOMES 107 9941u em ev v' HOTHFI T• '9RO'21 r VjQS y�g_9048 <br />Owner <br />Mailing Address , <br />CITY "' Zip,, Phone <br />,v <br />CONTACT- PAIII OR eTA Y <br />Applicant Mailing Address i _ , t, < i r ; • .. <br />�-� � Zip Phone <br />Describe Proposed Work NEW HOUSE BASIC 1257 <br />W <br />� <br />PROJECT ADDRESS (if known) 23 73RD cT aW <br />1 _ <br />?Mach four (4( copies of plans for proposed work - Draw to scale and note the following If applicable: <br />M <br />W <br />"Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />•Centerline of street •Indicate North •Show any proposed grading changes "Show measurements <br />O <br />DO NOT <br />WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1 All calls for inspection shall be made 24 hours in advance -phone 259-8810. <br />2. All work shall be performed in accordance with this permit end current City of Everett Design and <br />Construction Standards and Specifications. <br />O <br />3. Call Location Underground Service 48 firs. before you dig. TOLL FREE NUMBER 1-800-424-SMS. <br />CO)V� <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />Approved as Constructed <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLE PION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />