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TQ POSTING JUN 1 2 1988 ��" <br /> � �Plication For — . /. 1 <br /> PUBL�C WORKS PERMIT Date �o-z�-9� <br /> PUBLIC WORKS DEPARTMeNT Pubilc Works Pertnrt# "17/�� <br /> 3200 Cedar Street <br /> Ever�r�tt,WA 98201 259-8810 Building PertnR k 56920 <br /> TYPE OR PFiINT ONLY Public Works Fee$ Zp <br /> Warbis Canstruction 10832 Willow Rd Lk Stevens 98258 356-7767 <br /> Owner Mailing Address City Zip Phone <br /> Owner <br /> Applicant Mailing Addreu City Zip Phone <br /> Describe Proposed Work new house - Basic 1237 � <br /> � <br /> � <br /> PROJECT ADDRESS(ifknown) 108 Forest Court Lot 1 SP 116-96 � <br /> Attach four(4)copies of plans"Por proposed work-Draw to scale and note the fo�lowir�g if applicable: � <br /> •Property lines 'Outll e and dimensions of all existing and proposed structures on the lot •6cisting and proposed utilities O � <br /> `Centedina of street •Indicate North •Show any proposed grading changes 5how measurements � � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <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 curcent City of Everett Design and O <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 46 hrs. before you dig. TOLL FREE NUMBER 1-800-4245555. <br /> 4. G�, ~ <br /> nu� r�{�� r�vh o� �a s�rw� dv��h b2��h �v�d�d oh lob. (/� <br /> ].1-21-97 10:27A11 O/� <br /> � 56920 Ii <br /> PUILD 968.7� <br /> FLUliE 63.00 <br /> MECH 60.00 <br /> SRCHG 4.50 <br /> DRIVE �0.00 I <br /> � 31313 � <br /> GFWEF 7U.00 <br /> UTILITY 1296.00 I <br /> TDTAL G�fBG.LS I <br /> CHEK �482.�5 i <br /> A OM3139 <br /> ACKNOWLEDGEMENT OF CONDfT10NS <br /> / The undersigned ownedapplicant hereby agrees to hold and save hartnless <br /> ��, ��� `Q �/q7 the City of Everett from any and all claims for damages,costs,expenses,a <br /> Approved tor Const tion Date � causes oi action that may arise because of installatton and maintenance of <br /> the(mprovement or other rigM-of-way use hereto applied forand further agrees <br /> to remove same upon noNce from the City and to replace public property <br /> /(/–�� damaged thereby. <br /> FIRTL INSPECTION Date <br /> Approved as Constructed --` --�� <br /> %CT 7C C— l� ��"3��Cf'J <br /> Slgna Applicant " pe e '-' <br /> WORK AUTHOR¢EO BY THIS PERMR MUST BE STAHfED WfTHIN 180 DAYS OF DATE PERMR IS ISSUED AND 7HEREAF�ER IS TO BE DILIGENiLY PURSUED TO <br /> COMPLEfIUN.THIS PERMR MAY BE CANCELLED BY THE CIiY UPON ANY STOPPAGE OF WOHK ON THIS PROJECT OVER 90 DAYS DURATION. <br />