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� <br />TYPE OR PAINT ONLY <br />Anv��cation For <br />PUBLIC WORKS PERMIT Date_ 8-12-97 _ _ <br />PUBLIC WORKS DEPARTMENT Pubic Works Pertnit A�� Z�o I <br />3200 Cedar Sireet <br />Evered, WA 98207 zss-eeio ApR 1 4 1998 Builiing Permit q 56180 <br />��� ��STING --- <br />� Public Worls Fea $ _,� _ <br />I:A Scevenson Const Inc PO eox 1648 Lynnwood 98046 489-1865 <br />Owner Mailing Address Ci�y Zip <br />Owner <br />Describe Proposed Work <br />Add�ess <br />IIeW dUp10X <br />Ciry Zip <br />Phone <br />Phone <br />�7016 <br />PROJECT ADDRESS (if known) �69-1b Beverly Lane Lot 3 SP 1141-96 <br />Attach four (4) copies of plans for pioposed work - Draw to scuie and note the lollowing i1 applicable: QB-13-9� 2:47PM <br />H 56180 <br />•PropeAy Lines 'Outline and dimensions ot all existing and proposed structures on ihe lot •Existing ���e�i}ie� <br />•Cente�lina of street •Indicata Norih •Show any proposed grading changes •Show measure�r�.�j� 16e. �� <br />PERMIT CODJOITIONS: 120.00 � <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-88 CHARGE 6.50 <br />2. All work shall be performed in accordance with this permit and current Ci '�i�Yett [!'�SiQA and <br />Construction Standards and Specifications. 31227 <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE �€R �E�+�4-5555. � <br />i <br />1613.00 ♦/► <br />TOTAL 3285.00 w� <br />i i�i,:l;di ;m du:p��r,iuu trc�uch built .�v per Scction 3-2.6.2 ;md FiGurc wid'tahlc 3-7..3 ofthe0�1EK 2� <br />5ionu��furr Al�uin¢amcid Almmal (copy', stapled to tl�i�; pern�it). "17ie di:;perp��47fi•h �:hull br no ;� <br />clo+rr Uum 5 fert to rwy up alopr proprrty liue or foundsdiou nor cloaer t6tui 10 iarl to tmy dowuslo <br />propartt' line or fi�undation. Call �ublic 11'orL:; for ;m in:;peclion prior lo coverin�; trenches. <br />ACKNOWLEUGEMENT OF CONDITIONS <br />The undersigned owner/��pplicant hereby a�rees to hold anJ save hartnless <br />ihe City ol Everett Irom nn� and all claims fur damages, costs, expenses, or <br />causes ol nctlon that may nrise because of installation and mainlenance of <br />ihe Impmvemenl or other riqht-of-v.•ay use hereto applied lor and further agrees <br />to remove same upon nolice fmm ihe Ciry and to replace public propeAy <br />damaged Ihereby. <br />� <br />ti"1 /i �3 g7 <br />Signatuv of Applicnnt Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 18(l DAYS OP DATE PERMR IS ISSUED ANp THEREAFfFR IS TO BE DILIGENTLY PURSUED TO <br />COMPLEf10N. THIS PERMIT MAY BE CANCFLLED BY THE CI1V UPON ANY STOPPAGE OF WORK ON THIS PHOJECT OVER 90 DAYS DURATION. <br />