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� APPIicalion For . � <br />PUBLEC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT :- <br />3200 Cedar Sireet rt� <br />Everett, WA 98201 259-8810 i� <br />Tn POSTING APR 1 4 1998 �3 � n� o <br />TYPE OR PRI� T ONLY • � <br />r, <br />r (� �+ O + <br />:,r rf] M M r�� <br />HARSTAD CONSTRUCTI0;1 2820 86TH ST S� s, "�EVE�ETT <br />Owner <br />Applicant <br />Describe Proposed Work <br />Mailing Address <br />PROJECT ADDRESS (if known) 6609 aeVFttt.v <br />n �,? <br />.i _ <br />Date 9/30/96 C <br />Public Works Permit M� 1�3i� __ _ <br />Bcilding Permit q �� ( 56 -- <br />� �oi� O.. <br />n <br />�ublic�V4�}c�'ee $ <br />a e� � v�j <br />9�20� � 337-4654 <br />City Zip Phone <br />Attach lour (4) copies of plans fo� proposed work - Draw to scale and note the following if applicable: <br />•Property Lines •Outline and dimensions uf all existing and proposed structures on the lot •Existing and proposed u�ilities <br />•Centedine of sireet •Indicate Notlh •Show any proposed grading changes •Show measurements <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in 2dvance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Speci/ications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />� h�1Lil I nn intiliralinn trcnch huilt as per thc c�tv'a "Rcaidenlisil Roof I)ownsE�out Syatem" deatail <br />,i::ed :�e per d�e cirv'a 1'sd�la lU-3.2 "Iiooi�Doivnapout System Sizinq". 'll�e ��ililtration tre�ichea <br />Lc ui� clusrl' ILiW $(�i rI l0 :llIV ll�) SIO�xi prupeity liva or fowi�tilion uud no deaer U�:m 10 fect to <br />do«•uslopc prop�•rf}• linc or foimdntion. <br />J�' <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicaN hereby a�rees to hold and save harmle;s <br />tho City of Everett from any and all claims fur damages, costs, e+epenses, or <br />causes ol action that may anse because of installaticn and maintenance of <br />the Improvement or other right-ol-way use hereto applied for and funher agrees <br />to remove same upon notice Irom the City and to rep�a.:e public ,noperty <br />damagcd therepy. _ „ <br />WORK AUTHORIZED BV THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSI <br />�� COMPLETION. THIS PcRM1T MAY BE CANCELLED BY THE CIiY UPON ANY STOPPAGE OF WORK ON <br />) <br />AND THEREAFfER IS TO Bc DILIGENTLY PURSUED TO <br />S PROJECT OVER 90 DAVti DURATION. <br />