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Application For d 8/13/98 <br /> PUBLIC WORKS PERMIT Date <br /> PUBLIC WORKS DEPARTMENT Public Works Permit# 9C9/2 <br /> 66 <br /> 3200 Cedar Street <br /> PEverett,WA 98201 259-8810 Building Permit# <br /> i Od <br /> TYPE OR PRINT ONLY Public Works Fee$ r 5 7 --- <br /> Fluke Mig Co. PO Box 9090 Everett WA 98206-9090 <br /> Owner Mailing Address City Zip Phone <br /> Snohomish County Airport <br /> Lennie Rae Cooke 2220 -- 100th St SW Everett 98204 353-2110 X2239 <br /> Applicant Mailing Address City Zip Phone ...Immo.■ <br /> Describe Proposed Work Site work for l arbeck Wetland Sanctuary -- Including construction <br /> la <br /> of roadway, drainage system and public sidewalk. <br /> C// <br /> PROJECT ADDRESS(if known)" •• 7007 Seaway Blvd <br /> Attach four(4)copies of plans for proposed work-Draw to scale and note the following if applicable: <br /> 'Property Lines Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br /> 0 <br /> 'Centerline of street 'Indicate North 'Show any proposed grading changes •Show measurements <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1.All calls for inspection shall be.made 24 hours in advance- phone 259-8810. <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and 0 <br /> M Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br /> ., <br /> t .,,,,,,t J ."( ,fie C er G'� .%2,S CO <br /> a/ep-oved el-) ,fi' -2id - 76 (S.30,01:-"S ril;'(40 <br /> 5 Z-Giozc,t .5/4 if iy, cio,-,e p a r q 4 C e `r n 0nn <br /> tEE <br /> fie, r o c/ek a.d e- 263- '9LiSEP Q 8 1998 <br /> ‘_ 4)0,-,k ,p /( & d#ne der- .e stl ri5ct <br /> 10 en t/Q.1 c/ 6.x6. c 't O 4/2c/we' , 4.Zso ,27K t-,4 e CITY OFE'`V'ERETT <br /> Permit Services <br /> 7 /4i4,ek ah sic44 /it c !,n7 a iR.1a y I v©! S#(a 1 e <br /> 8e_ dohc far p141s C-2 r ,5 , ,.. <br /> cel' fro c .54-41 Pevss,n--) _95,2 g 4e re a//ecvL <br /> & povec/ 6y ille e.7/ 7i-e et C 424 e-..4,re s.:;,/,- hit 4.4101 ss (/rrhe. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless <br /> 7 �' the City of Everett from any and all claims for damages,costs,expenses,or <br /> C 4 causes of action that may arise because of installation and maintenance of <br /> Ap roved for Construed-41Date the improvement or other right-of-way use hereto applied for and further agrees <br /> ,,- to remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> _AL INSPECTION Date <br /> Approved as Constructed <br /> . <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. . <br />