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� <br />� <br />'fYPE OR PRINT ONLY <br />Owner <br />PUBLIC WPOaRKS PERMIT lo��/q�v <br />Date <br />PUBLIC WORKS DEPARTMENT Public Works Permit N a�0�3q� <br />3200 Cedar Street <br />Everett, WA 98201 259•8810 Buildin Permit k <br />TO POSTING NOV 2 4 1997 9 s3i�- <br />Public Works Fee $ _ �� <br />1(0021 N� I(c4}l� Pl \�rbodihv�lle �i807L <br />City <br />Phone <br />Applicant Mailing Address City Zip Phone <br />Descritie Proposed Work <br />PROJECTADDRESS (if known) <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: <br />� <br />•Property Lines 'Outline ar,A r�i.^.;onsions of all existing and proposed structures on the lot •Existing and proposed utilities <br />•Centerline of street •Indicate North •Show any proposed grading changes •Show measurements <br />PERMIT CONDITIONS: <br />1. All calls ror inspection shall be made 24 hours in advance - 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 Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />4. Rootiop cUaina¢e shall be discl�tu•qed: <br />• 1b tl�e. site's stonu drsuu syetem (privale or puLlic) <br />•'I'o a residznti�l �roofdo�v�ispout system desi��ed per section �i-9.d of tl�e cilv <br />F�illlClill'CIS 1;/14/96 4:lOFM 001 <br />• Onto spl.�sh blocks / <br />Tl�e meUiod sele.c�eci will be subject lo Public �Vorks L�speclor approval �e0053144 <br />RLDG Sb67a00 <br />S PLEG 463,00 <br />.�i individu�il pressure reduciq; vnlve sLsill be iustalled on tliz ws�ter sc�{�p to fliisg90.OD <br />I�ouse. SRCHRG g4,50 <br />6. Provicle four o�sh•eel pnrkin,g st:ills oul ofllie eftsement Ftccesr; fire Iane.DRIVWV ��O.00 <br />FLN CN $433.55 <br />H00009198 <br />WRTER 5550.00 <br />H00030892 <br />Cu�-Q- � I 0% I,T(o <br />Approved for C truction Date <br />� ' � /3 -57 <br />Al �NSPECTION Date <br />Approved as Constructed <br />SEWER S70.OJ <br />S�'SDEV 81�96.00 <br />ACKNOWLE�NT OG�33'i�OD(j$)NS <br />The undersigned owner/applicant hereby agrees to hold antl save harmless <br />the City of Everett from any and all clalms for damages, costs, ezpenses, or <br />causes of action that may arise because of instaltation and maintenance of <br />the improvement or other right-of-way use hereto applied lor and further agmes <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />� A� I <br />" !/ O � �� , �� <br />Sig re of Applicant ate <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />