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At <br />Date_ 8/16/94 ^6TING . -2� s� 2q7 <br />Puhuc wort.. Pmmn . <br />Bldg Deol . 45274 <br />r <br />PUBLIC WORKS PERNfT s <br />L.s eooi r.. P.,d S <br />Print or Type Only $ $ $ Dei.nc.Doo $ <br />00Z-312 yo/i9.?/ <br />Vaud Pierce 8430 1st Pi SE Everett 98�5 335-1202 <br />Owner Maiiir�� Anuress �t� � � zip Phone <br />Applicant M.Wii q Address Cdv Zip Phone <br />Place mabile and construct garage <br />Describe Proposed Work <br />Project Address of known)G_ <br />Attach four 141 copies of plans for proposed work - Draw to scale and note the following as anphrable.. <br />• Property Lines • Conterline of street <br />• Outline and dimensions of all existing and • Indicate North <br />proposed structures on the lol • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 his. in advance • phone 259.8810. <br />2. All work shell be performed in accordance with this permit and current City of Everett Design an,-onstructiou <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424.5555. <br />Approvea as uonstructed <br />PUBLIC WORKS DEPARTMENT <br />3200 Ceder Street <br />Everett. WA 98201 <br />Phone: 259.8810 <br />LLJ <br />Fa <br />M <br />O <br />ZI <br />a <br />7 <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Thr mdPrsilned owner/applicant hereby agrees to hold and save harm- <br />iess the Cily of Everett from any and all claims for damages. costs. <br />expansesof causes of action that may arise because of installation <br />ann maintenance of the improvement or other right-of-way use herein <br />drphed for and further agrees to remove same upon notice from the <br />Cdv and to replace Pubfr party damaged thereby. <br />Signn�re APPIiC nt .dDate <br />WORT( AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. 1-1 <br />