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ai <br /> � �plicatian For / <br /> PUBLIC WORKS PERMIT Date 6-6-97 <br /> PUBLI Z00 Cedar�Sheet MENT•� O 6 � public Works Pertnit N _ <br /> r�r n <br /> Everett,WA 98201 259-881�H 0 � � Building Permit M 55378 <br /> TYPEORPRINTONLY TO POSTING ����' publicWorksFee$�O� <br /> Thomas Matuszewski 14604 Silver Firs Dr Everett 98208 425-338-2639 <br /> Owner Mailing Add•^.ss Ciry Zip Phone <br /> Owner <br /> Applicant Mailing Address Cit� Zip Phone <br /> Describe Proposed Work new house � <br /> 07-21-97 8:39AM � <br /> N 55378 �/� <br /> BUILDIN6 926.SJ V♦ <br /> PROJECT ADDRESS(if known) 5018 El Charlea St Lot 5 �A�ewqldCl� � <br /> fEpYWICAL 80.00 <br /> Attach lour(4)copies of plans lor proposed work-Draw to scaie and note the tollowing if applica6le: � 4.� O <br /> •Property Lines •Outline and tlimensions of all existing and proposed structures on ihe lot •Existing�ed ufi'�e' � <br /> •Centerline of street •Indicate North •Show any proposed grading changes •Show measuren� �� ��70 � <br /> DO NOT WRITE BELOW THIS LINE WpTER 105.00 <br /> PERMIT CONDITIONS: 3�� 2 <br /> 1. All calis for inspection shall be made 24 hours in advance- phone 259-88 O <br /> 2. All work shall be performed in accordance with this permit and current Ci �I�and <br /> Construction Standards and Specifications. ��3 <br /> a. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NLIMBER 1�q�4-5555. <br /> TOTAL �ru <br /> CHEK <br /> A OR1046 <br /> 1 Kccp cih� strccts cican al ,i0 hmc;. � <br /> Cwb gullm �ud sidew;ilk ui Urc pl,il are ucw :md uud�una�zd. atry d711113�;C Ulrl'C�0 �II'dII UC fCNI�I'ZlI 8I(II � <br /> discretion of Uic ]'ublic Works Inspector. <br /> c�. Arry chauec in Ihe diivew:rv cut nmst be approved by 1he PW Inspcctor, widih st prop luic Gmi�ed Io <br /> cxistinE� apron widlh. <br /> ' Adjast watcr boxes �o Frradc at cnd of�con�huction. <br /> �. lliivew;ry, sh�ili be completcly ctucd Uctoro dn��n�on lhcm. <br /> `>. Foollop dr;tinage shall be discl�arged to thc sit�> sto�Tu drain syslrm <br /> �� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �j��/�� Tho undersigned owner/applicant hereby agrees to hold and save harmless <br /> the City of Everett from any and all claims for damages,costs,expenses,or <br /> Approved for C stru T�� p�1e� causes of action that may arise because ol installation and maintenance of <br /> the improvement or other right-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace public property <br /> . �-f8 damag d thereby. <br /> FIIJAL INSPE ION Date `��z / <br /> Appmved as Conrtmcled � �7/ �� <br /> v •� 7- ZI - 97 <br /> Signature of App�icant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEfION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 DAYS DURATION. <br />