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� <br />TYPE OR PRINT ONLY <br />��„���,,, ,,, a„ <br />PUBLIC WORKS PERMIT <br />PUBLIC WOFKS OEPARTMENT <br />d200 Cedar Street <br />Everet�, WA 98201 259�0810 <br />''� POSTING AUO 0 9 19Fl7 <br />Date _ _ 3-� 9-97 J <br />Puhlit NlorVs?rrmu a `� ( IfV � _ <br />r <br />Building Permit k _ _ _ _ 54663 <br />Public Works Fee b G[/ <br />Borseth Cuetom Homes 1241 Sta[e Ave Marysv111e 99270 653-3720 <br />�`-+'�P� Mailing Adtlress City 2ip Phons <br />lhme i <br />nPP�icant <br />flescribe Proposed Work ___ <br />Addiess <br />new house <br />Phone <br />PROJECT ADD.9ESS(ifknown) _ EOA 93rd_St SE Lot 14 Mt V1ew�_ <br />Atlnch fuur (4) coples.�l plans lor propo9etl wwY, - p•aw to scale end note Ihe lollowin� I! applicable� �q�{�; 591=7•� <br />•Property Lines 'O:Iline end dimensions ol ell existing end proposed stmclures on the lot •Ezisling and p(qygSed utilitieqql �� <br />•Centedlne ol street •Intlloa'e NoAh •� w eny pioposad grading changes •Show measurements «'��� s6�� <br />SRCHifi i4.50 <br />DO NOT WRITE BELOW THIS LINE uctwv s�u.W <br />PERMIT CONDITIOIJS: N00009338 <br />1. All calls for inspection shall be made 24 hours in advance - plione 259-8810. �� t105.00 <br />2. All work shall be peAormed in accordancn with this permit and current City o1 �l�sign and <br />Construction StancJards and Spr.citications. SE41ER t70.00 <br />3. C�II Location Underground Service 4B hrs. before you dig. TOLL FREE NUMALWH�0014'1b.SB55. <br />BNDIII l330.00 <br />CHECK 53231.00 <br />F.�, � m n, r�e ckan ;d nll Innr� <br />� mL ��id�ei and ;idcwall� iu �he pl�d �uc ueN �wJ unJanri�•�d. ain d�nna��: ihcirlo ,h:dl br tr�daerd at <br />�li�cr.timi ol Ih: I`ublic N'orks Insp:ctor <br />Adpist w;nei boxcc to ttadc al rnd nt con:fmction. <br />Dri�•cw�vs .h,dl L�: �ompl.irh :iu.d b:Porc Jmin!,� on �hcni. <br />j!nnl�n�i i�1:1111(Ir,., allfl�� �l • t�lrr�191^�: �� <br />i��i, i i� I iu w,• �h�ini drnum�,. �ud� pim�drd nl lhc rr�u ol ii�.� I��i <br />e"'— �a�t'�— <br />F AL INSFECTIGN Dale <br />Approved es Canstmcted <br />/ <br />� <br />O <br />♦�^ <br />V♦ <br />� <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undo�slgned owner/opplicenl hereby egmes to hold and save harmless <br />ihe City ol Everetl lrom nny and nll claims lor damages, costs, ezpenses, or <br />causes of nction ihat may a�lse because of Instnlletion and mnin!enance o� <br />Iha impmvemen� o� other righbof �way use hereto applied lor and luriher agrees <br />lo r9move 9ame upon nol�ce hom Ihe City nnd to replace puhlic pioperty <br />damagetl Ihereby. <br />� ' <br />�Z.n� <br />SlgnaWreofApplicant--- . .. <br />.—_._-- Unte.__ <br />WORK AUTHORIZC.D BY THIS PERMIT MUST BE STARTEO WITHIN 190 DAVS OF DATE PEPMIT IS ISSUED ANO THEREAFfER IS TO BE DILIGENTLY PURSUED 70 <br />COMPLETION. TH��.S PEflM1T MAv AE CANCELLED BY THE CIN UPON ANY STOPPAGE OP WORH ON THIS PROJECT OVER 7� DAYS DUF.AI 10N. <br />