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� <br />pBtB z/3/95 u <br />App�cationFo� TO POSTING 4��-4� <br />PUBLIG W(�RKS PERMIT <br />� <br />Oo <br />O i <br />PrintorTypeOnly r u`3�RoiiBo� es ��o: <br />m[� O O.Y O f+l N C1 � �r• <br />o In [�. J.-i M(•� M C [� P fS <br />Oakcrest Ilomes Inc 5371�2>OYith Dr SEM SgpMDpG}eh;,;�290 <br />Apphcant <br />Describe Proposed Work <br />Proled AJd�ess �il knownl <br />nddress �, > x qy <br />o�����3g�` <br />��y ��aa�� <br />VIIY <br />New house - Bnsic 305 <br />Q� 0(o(p �. <br />PuCOc Wor4s Permi� • <br />eiao o�n� . 46923 <br />Pupi¢Wortsiro 6 <br />Tnlei ine <br />lefUppl iee Pn�a s <br />�/�� ��. <br />Beiance Uve S /ll <br />337-1229 <br />w' -, t'p <br />�W <br />U1 U <br />320 74th St SW Lat 12 PlcKenzie ftgts <br />Allach lour �4� copies ol plans lor pro�osed work - D a <br />�.P�dNBfP}�L(A�� cnmhn�Hnn �nicmrz f���iiii�ct�fl�i���iP�t"R���I!'t'��RV�wt�VMa!iddlli9wn[I c!�n�inn caMml ��� rlir:•rlyd Y <br />• Cr,nlerline ol street <br />• OutGne and dimensions ol all exis�ing and • Indicate Norih <br />proposed structures on Ihe bt • Show any proposed grading changes <br />• Exis�ing and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1. All calls lor inspection shall be mede 24 hB. in advence- phone 259•8810. <br />2�s �1�� il�h�d���ti�A� $��P�fi"`F��YiI�iJ"i�fita`�!���F �tu5'47PyF:'t�fl���aY�'fl'!t�3'fl0 �P9,�8A�[11fii'8P as dirrete <br />3. Cellliil�Hlidi{�1�ifeFgY4lI1PdNBervice 48 hra. belore you di8. TOLL FREE NUMBER 1•600•424•5555. � <br />S. f�cep eiry ;urcis dcau AI �II IIIIIC.I'. <br />G. Cwb E�ultcr and sidcwnik in the plat auc ncw ;md undamaged, niry da�uarc Ihcreto sh:ill bc rrplaced al tlu � <br />Aiscrelion ol Ihe Pubhc Wotks Inspector. <br />7. ,Vry chm�ge ui lhe �Lic:wny iut uw�t be iipp�uv�J by tlie FW Lispzctor. wiJili nt piop luic Iu�uteJ to existing <br />apron widtli. <br />x. Cwti Fnce Arnins or other stmm drain smbs have been provided to eecli lot oi die pim li�r the conuection of <br />roo0op .lownspoms. <br />ion <br />/-3�y <br />FINAL INSPECTION <br />ApproveC as ConsVucted <br />�_ - PUBLIC WORKS DEPARTMENT <br />,V�3200 CeJar Slreel <br />!.l Everett. WA 98201 <br />Phone: 259�BB10 <br />Dote <br />ACKNOWLEDG[MENT OF CONDITIONS <br />N <br />� <br />O <br />� <br />� <br />� <br />a <br />ihe undersigned owner/applicanl hereby aB�ees lo hold and save hann� <br />Inss the Ctly ol Everelt Irom any and all claims for damages. costs <br />eap^nses. or causes ol aclion thal m�y arise beceuse o� ins�allation <br />and mainlenance ol Ihe improvement or other nghbobway use hereto <br />applietl lor and fwther ngrees to �emove same upon notice Irom the <br />City and lo replace public property d. �naged Iheieby. <br />�� <br />�llo--k�..� 2 - 'q�- <br />Signa�ure ol Applican� Dale <br />WORK AUTHORIZED BY THIS PERMIT MUST B ST FTED WITHIN <br />1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br />CANCELLED BY THE CITV UPON ANV STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAVS OURATION. <br />