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� AOPlicahon For — � <br />PUBLIC WORKS PERMIT Date_ 8-12-97 <br />PUBLIC WORKS DEPARTMENT Pu61ic Works Permit a_9J,�� <br />3200 Cedar Street <br />Everett, WA 98201 259-8010 <br />.^� a��TiNG �R 14 ,ssa BuildingPermit�l_�61]� -- <br />� t . . <br />IYPE OR PRINT ONLY Public Works Fee $� <br />K A Stevenson Const Inc PO Box 1698 Lynnwood 98046 489-1865 <br />Owner <br />Applicant <br />Describe Proposed Work <br />PROJECT ADDRESS (?f I<nown) <br />Mailing Address <br />Mailing Address <br />new duplex <br />� Beverly Lane <br />2ip <br />Lot 2 SP <br />08-13••97 2�33f91 <br />b 561.79 <br />BUILUING 1287.50 <br />20.00 <br />q 31226 <br />Atlach four (A) copios of plans lor proposed work - Draw to scale and note the following if applicable: �� 70'� <br />•P�operty Lines 'Outline and dimensions uf all existing and proposec's�ruc�ures on the lot •Existing �er�s��tilities <br />•Conterlina of street •Indicate NoAh •Show any proposed graAinp changes •Show measuremenis 1��� <br />PERMIT CUNDITIONS: CHEK <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. A�476 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Catl Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-500-424-5555. <br />fn�:t,ill :m �b�.�,�•r,ic,n tmnrh huilt sis �,er>;cction 3-1.fi 2 �nd F�innre �nd'1'�bl� 3.) i oflhe cih� <br />��tnim�va�cr �i.maq�meut A1;mual (copy's atnpled to thi� permit). Tt�e diepereion lrench slu�ll be no <br />�la;c•� lL;�� i le�t lu ;my up .lop�� pinpeii}� liu�� or foimd:dl011 uol' Clqsef tI1�11 10 frr! lo :ury �owus;oi <br />pi;�p���ty' lir.;� or Ibimd:iliou. l'all Public Work:, lor cm in:,prcfion prior �o co��erin,q tr:nches. <br />O <br />/�� <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agraes lo hold and save hartnless <br />the Ciry of Everett from any and all clalma fur damages, costs, ezpenses, or <br />causes of action ihat may nnse Secause ot Installation and maintenance ot <br />the improvement or other right-obway usa herero applied for and furiher agree; <br />to remove same uoon notice from the City and to replacc public property <br />namaged ihereby. <br />� r�3lg� <br />Signature ol Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTFD WITHIN 180 DAYS OP DATE PERMIT IS ISSUED AND hIEREAFTER IS TO BE DILIGENRY PURSUED 10 <br />COMPLETION. THIS PERMIT MAY BE CANCELLED 6Y THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />