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0-3 CA <br />P <br />i-A <br />0 H <br />ZH <br />k-3 <br />C) t:J to <br />19� <br />li-3 2 C'44 <br />rt <br />Lf <br />Date <br />Application I of <br />PUBLIC WORKS PERMIT <br />,J. <br />TO 1 OSTING--A-9 " <br />Print or type On, <br />§' 9" <br />ety 40 to CA tll� <br />40 40 <br />ilubitc Wwkt P*rM4 #-2r1� <br />81du Dfol * <br />TotAl I <br />Lost ApO I a# FaA $ <br />.zaitlilea Ovo S <br />-0.6",ze-Se G'/'`V., 9A <br />I <br />City Zip pwine <br />kr�wrUi W <br />U <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work ✓yt1,4 <br />NJ <br />Project Address of known) C) <br />Attach tout (4) copies of plans for proposed work - Draw to scale and note the following as JPPhcable, <br />• Property Lines 0 Centerline of strue, <br />• Outline and dimensions of all existing and 0 Indicate North <br />proposed struc:,jres on the lot 0 Show any proposed grading changes <br />• Existing and proposed utilities 0 Show measurements <br />DO NOT WRITE WILLOW THIS LINE <br />PERMIT CONDITIONS <br />1, All calls for inspection shall be made 24 hrs. In bdvanre - phone 259.81310 <br />2. All work shall be performed in accordance with this permit and current City c'Everett Des!gn and Constructloo <br />Standards and Specifications. <br />1 Call Location Underground Service 48 hrs, before you dig TOLL FREE NUMBER 1.800-424-5555, <br />4, REMOVE EXISTING SOLID COVER ON STORM DRAINAGE MANHOLE NiA <br />REPLACE IT WIHT A GRATE. <br />5. CONNECT DOWNSPOUTS TO STORM DRAIN. <br />6. DRAIN PAVING TO STORM DRAIN. <br />7. APPLICANT' SHALL PERFORM ALL NECESSARY WORK AND BEAR ALL COSTS <br />TO RELOCATE EXISTING SIPF to SERVICE FOR '203 BEECH ST. AN <br />EASEMENT FOR 1-14E NEW SIDE SEWER LOCATION MUST 1.11E GRANTED TO <br />203 BEECH ST. <br />ar <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The vedersigned owneriarplxant hereby agrees to hold ani <br />less the City of Everett from any and all claims for dam <br />expenses. of causes of action that may arise because 0. <br />%.,i maintannni-o nt tho irAntfivAmpril nr other right-ol-wai <br />