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1M <br /> P <br /> H �+ Date 7-30-91 L ruuec Worb Parma <br /> flips D1P1 • 91/2744 _— <br /> H ApPlicatlor For <br /> a PU Tot.lF <br /> LIC WORKS PERMIT PubeFea <br /> y y ?Mel ea <br /> d Leu Ant Fee Paid $S <br /> Kim <br /> Print or Type On 8 S TO POSTING _�l�/2z Belen eDue s?S'�' <br /> Hry 2111 W <br /> pH Co111---��� D. <br /> � - Arthur Taft Hell 76th St SW Everett 98203 _ 347-9057 <br /> py p Owner 01 Address Cdy Lip Phone <br /> C7 <br /> 08 Re-Del-Co Co1�ikt ed �p id3a9 rbeck Ave Everett 98203 348-5860 <br /> 0. o Applicant Mailing Address City Zip Phone <br /> �y <br /> � <br /> H Describe Proposed Work new SFR 1814 SF (bas? 90/2491 8) <br /> H <br /> - UJ <br /> H y <br /> - <br /> Project Address Ill known) 102 76th St SW <br /> Attach lour(4)copies of plans for proposed work•Draw to scale and note the following as applicable: <br /> • Properly Lines • Centerline of street ♦A <br /> • Outline and dimensions of all existing and • Indicate North v+ <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements /M <br /> 00 NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for Inspection shall be made 24 him In advance•phone 259•BB10. �\ <br /> C 3'. 2.All work shall be performed in accordance with this permit and current City of Evarelt Daeign and Construction <br /> Standards and Specifications. <br /> 4 3.Cell Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800424.5555. Z <br /> C� 0 <br /> FM <br /> U)a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold alta save harm. <br /> less the City of Everett from any and all claims for damages, costs. <br /> expenses, or causes of action that may arise bacause of installation <br /> CM, <br /> and and lot and <br /> rt the green o entrep or v other righ4 n notaway use hereto <br /> iYn�e . Y .V—►11 [ yQ C� applied for and Iwiher sprees to remove same upon notice from the <br /> Approved for Construction Dale City and to replace publicproperty damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Wpp scent � Dale <br /> WORK <br /> AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 6LPUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:2598810 PROJECT OVER 90 DAYS DURATION, <br /> :� e <br />