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��"//�� APPbr.alron Fnr <br />PUBLIC WORKS PERMIT <br />PUBLIC JJORKS DEFPniMENT <br />3200 Cedar Streat <br />e,,e�„t�, WA 98201 zss-ee�o <br />���� ���STINf NOV 1 819g1 <br />TYPE OR PRINT ONLY '--� opp <br />N470 O1�! <br />Roraeth Custom Homes 1241 State ��ffi44fakB <br />Owner <br />Owner <br />Appllcant <br />Date __ 3—E�-97 `/ <br />� �-�j -- - <br />Public Works Permit NY,_-/ 7�/� _ <br />W <br />Buildiny Permlt x _ __ 5��662 <br />- <br />Public Works Fee $ <br />Describe Proposed Work __ new house <br />PRC JECT ADDRESS (il Icnown) <br />AUach lour (4) copies ol pluns Wr proposad work - Drnw lo scale end note thc following II eppliceble: <br />•Propsrty Lines •Owline nnd dimenslons ol nll existing and proposeA s��uctures on the lol •Ezisting end proposed u;ilities <br />•Cenlerline ol street •Indicete Notlh •Show any proposed grntling changes •Show measurements <br />PERMIT CONDITIO�S: <br />1. All calls for inspection shall bo made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permil and currenl City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Unclerground Service 48 hrs. be!ore you dig. TOLL FREE NUMBER 1-800-424-5555. <br />�'..rp cin• �hrrta clenn �I nll limr� `O <br />��uL yullci auJ ,idcwiJk iu Ihe pl;d aie nrw ;md uudama��.�L vi� �I;un:e�> �lia.l�, ,Irdl bc icplaccJ al i <br />disciction ol'Ih: Public R'orY,� lu:pcc�o� a <br />Adiust wntc� bozrs ro rrn�ir. ;n � nA ol con�lnichnn <br />I ni�,w;�y, ,hall Lc cowpl�icl}� curcd bcfuic �Liciu� ��u th�u� <br />t�����n�ln�� rh�ina�•r :Ir.dl b.• rti=rh•n..r�l tn r� ,����h•rn �q,�vr�. �il !n� r�i.. �,�,iq�r n�n�4 ��I •pa�nn-ro .�h • 1; <br />�n-p �� m� i i��i �la� I�.,�i � <<dl b � i��n���in ��I •.nh ,un�i ii� � -� �i ��i li i 1� � n m�i:d�� �� �,uni ippi„�. �I i�� ih � <br />r, <br />Approved for ConstructioA D'ate ' <br />�,,C%[L� G�•�-- F`2f-s7 <br />FINAL INSPECiION Uete <br />Approved es Cons�:rted <br />ACKNOWLEDGEIdFNT OF CONDIiIONS <br />The undersigned ownor/applicant hereby ngrens to holC anA sa�a� hormlc,•; <br />Ihe Cily o( Everett hom nny and nll r.laims br damages, costs, erpens�x. or <br />— causes of actlon thnt mny nrise becouse oi installotion end mainlenn��u� ol <br />Ihe impmvement or olher righl-ol�wny use hereto applied foi anA lurlher a������•c <br />lo remove snme upon notice Irom Oi�� Gi1y m�A in rrp�art� piibiic piupoi��- <br />dmm�9ed thereby. <br />!� li � �. . <br />S�gnature ol 4pplican� <br />� <br />WORK hUTHORIZE� BY THIS PF.RMII MUST BE STARTED N'ITHIN 190 DAYS OF DATE P[RMIT 13 ISSUED AND THCREAFTC-F IS TO O[ DILIG[M Y PU95UF.D 10 <br />COMPLETION. THIS PGRMIT M4Y BE CANC[LLED 81' THL CIT1' UPON �Nv SIOPPAG[ OF WOPK ON 1HIS PFOJ[CT OVER 90 DAVS DURATION. <br />