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Date z-16-93 <br />Application Far <br />PUB��IC WORKS <br />Print or Type Only <br />TO POSTING �=�` <br />PERMIT <br />Puouc Wort� Permit • • � O / � / <br />eioo oso� • 39570 <br />Puelrt Warh� iaa <br />Totel Fee 5 <br />Leu �pP� Fee P�rU S <br />BU�ncs Due S � <br />Waterford Cus!om Homes 17401 135th Ave NE 113 Woodinvill.e WA 98072 481-8733 <br />)wner Mailinp Address Cily Zip Phone <br />Owner <br />Appllcent Malling Address C��y Zip Phone <br />Describe PropOSed Work new houae <br />Lut 1 of SP 35-90 <br />Project Address �il known) l'SL ' <br />Altach lour (4) copies ol plans for proposetl work • Draw to scale anA nole �ne lollowing as applicable: <br />• Property Lines • Centerlina of streel <br />• Oudine and dimensions ol ell existing and • Intlicate North <br />propo9ed strucfure5 on the lot • ShOw any proposed gretling thanges <br />• Existing and proposfi i utllitios • Show measurements <br />lor <br />FINALINSPE <br />Approved as <br />��� <br />PERMIT CONDITIONS <br />1. All calls for inapectlon ahell be mede 24 hrs. in edvance- phone 259•8810. <br />2. All work shall be partormed in �ccordence wilh Ihle permit and cunent City ol Everett Design end Consiructlon <br />Slendarde end Specllicatlone. <br />3. Ceil Location Unde�pround 3ervice 48 hrs. befare you dip. TOLL FREE NUM9ER 1•800•424•5555. <br />�i <br />PUBLIC WORKS DEPARTMENT <br />3200 Ceder Sireel <br />Everett, WA 98201 <br />Phone: 259�8810 <br />2-Z3 �93 <br />Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />� <br />The undersigned owner/applican� hereby agrees to hold and save harm� <br />less the City ol Everett Irom e;�y and all claims lor tlameges, cosls, <br />e.penses, or cau5es of ection thet may eriso because ol Instelletlon <br />antl mainlenance ol Ihe improvement o� olher righbol•way use hereto <br />epplied lor antl lurther agrees to remove same upon notice from the <br />City and to replac�hlic pioperty dameged thereby. <br />i n lure ol A li�ant � DH�F <br />9 <br />AUT 12ED BV THIS PERMIT MUST BE STARTED WITHIN <br />1B0 DAYS OF DATE PERMIT IS ISSUED AND THERE4FTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS FENMIT MA'( BE <br />CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />