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Applicaton For i 6 0" 6- <br />OL PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />TYPE OR PRINT ONLY TQ POSTING -5E--_1996 <br />Royale Homes 13725 Broadway Ave Snohomish ! <br />Date <br />1-24-96 <br />Public Works Permit If <br />Building Permit # 50674 <br />Public Works Fee $ zo <br />Owner Paul McGowan <br />Applicant Mailing Address City Zip Phone r <br />Describe Proposed Work <br />new house <br />PROJECT ADDRESS (if known) 407 Madison St <br />Lot 2 SP #10-95 <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: <br />•Property Lines -Outline and dimensions 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 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 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 />/f. 46 re-v tqc.bl,(, Vxks Ajq:2raved 121rvl.c4nbfd 311gj1% <br />03/22/96 1.35PM 0001194 <br />H00050675 <br />BLDG $632.70 <br />PUBS $84.00 <br />MECH $60.0D <br />SRr.HRG $4.50 <br />DRIVWY ?^0.00 <br />PLN CH $16.56 <br />400970537 <br />SEWER $70.00 <br />SVSDEV $1296.00 <br />CHECK $210.78 <br />W <br />(1) <br />W <br />00 <br />i <br />z <br />0 <br />V) <br />0 <br />am <br />a� ACKNOWLEDGEMENT OF CONDITIONS <br />The 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 />causes of action that may arise because of Installation and maintenance of <br />Approved rCon truction Date the improvement crother right-of-way use hereto applied forand furtheragrees <br />to remove same upon notice from the City and to replace public property <br />/j y.QS,gnature <br />d thereby. <br />FINAL INSPECTION Date / <br />Approved as Constructed <br />f Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS SSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />