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. ..� <br />i�, <br />App6calion For Date 4-29-99 � <br />�i��� PUBLIC WORKS PERMIT <br />�c PUBLIC WORKS DEPARTMENT Publ�c Works Permit N 99-// 9 <br />3200 Cedar Slreet <br />Eveielt, WA 98201 (425) 257-8810 Building Permit k 62320 <br />UO <br />TYPE OR PRINT ONLY Public Works Fee $ �s "'" � <br />m�s�-8 <br />IDEW Local Union 11191 2810 Lombard Ave Everett 98201 259-3195 <br />Owner <br />Mailing Address City 2ip Phone <br />Solie Builders 3�3-2331 <br />Applicant Idailing Address City Zip Phone <br />�� <br />Describe Proposed Work <br />with site work <br />PROJECTADDRESS (it known) :701 Hoyt Ave _ <br />Attach lour (4) copies plans lor proposed work � Draw lo scale and note the following if applicable: <br />• Proporty Lines • Outline and dimensions ol all ezisting and proposed simcW res on the lot • Ezisting antl proposetl ulilities <br />• Centedina ol ,Ireet • Indicate Nonh • Show any proposetl gratliny changes • Show measuremems <br />DO NOT WRII'E BELOW THIS LINE <br />PERMIT CONDITIC�NS: <br />1. All calis for inspection shall be rr�ade 24 hours in advance - phone (425) 257-BB10 <br />2. AI; work shall be pertormed in accordance with this permit and current City ot Everett Design and <br />Construction Standards and Specifications.. <br />3. Call Loca!ion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />��/1//L LclOr'� t�o DE do„z Par P�k'n.S rcP�rvvec� <br />or1 S-ic - P9 � Cop,y 4rfo �/xz�� <br />W <br />� <br />�� <br />V / <br />Z <br />O <br />� <br />V / <br />O <br />a <br />.4CKNOWLEDGEMENT OF CONDITIONS <br />The undersignod o�medapplicant hcreby agrees to hold and save harmless <br />Ihe Ciry ol Everett lrom any and all claims lor damages, costs, ezpenses, or <br />causes ol , ction that may adse because of installalion and maintenance of the <br />improvemenl o� other right�ot-way use herelo applied lor artl luriher agrees to <br />remove same upon notice irom the Ciry and to replace pu6lic properry dam- <br />aged thereby. <br />`� --P �,�^^ ' � r�-� 99 <br />Signa ure o pp icanl a e <br />WORK AUT}10RIZED BY THIS PERMfT MUST BE STAHTED WfhilN 187 DAYS OF DATE PEFMR IS ISSUED AND THEREPFlER IS TO BE DILIGEMLY PURSUED il� <br />�q.1PLEf1pN.1HIS PERMR MAV BE CANCELLED BY iHE CfTY UPON PNY STOPP�IGE OF WORK ON THIS PROJECTOVER 90 DAYS IX1R4710N. <br />