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� Fpplication Far / <br /> • PUBI_IC 1lVORKS PERMIT Date s-zo-9� <br /> PUBLIC WORKS DEPARTMENT Public Works Pertnit# _ � �� <br /> 3200 Cedar Street <br /> . EVEre�(,WA 90201 259•8810 <br /> TO POSTING `�N 1 5 �98 BuildingPertnitM 55210 <br /> TYPE OR PRINT ONLY �ublic Works Fee$� <br /> Hearthaide Homes Inc 2911-1/2 Hewitt Ave 116 Everett 98201 303-9665 <br /> Owner Mailing Address City Zip Phone <br /> Owner <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new home � <br /> 07-11-97 12:59PM � <br /> BUILDII�6 T58.20 - <br /> �/J <br /> PROJECT ADDRESS(if known) 2001 E Grand Ave Lots iSMAp'��I� �•� <br /> Attach four(4)copies ot plans tor proposed work-Draw to scale and note the following if applicable: [�jI�1Y ��(b � <br /> •Property Lines `Outline and dimensions of all existing and proposed structures on the lot •Existing��u(�� O <br /> 'Centerline of street •Indicate North 5how any proposed yrading changes 'Show measurer�nts �� � <br /> DO NOT WRITE BELOW THIS LINE � �� <br /> PERMIT CONDITIONS: ��� � <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-8�L= O <br /> 2.All work shall be performed in accordance with this permit and current City ofE ere��j�and <br /> Construction Standards and Specifications. ��p� �q7� <br /> 3. Call Location Underground Sarvice 48 hrs. before you dig. TOLL FREE N�INBER 7=800=�4-S�EK <br /> A OM 905 ,w <br /> �/� <br /> 1 kcep city slrerts cic:m �t �II timcs. O <br /> � Lisiall 5' wiJz side�v;tUC I1CIW1lI CXISUII�l'111I1 �i111I�'UIICf�S NCf S1�II�I81(I NI311 B.iIK Otl UIIS �110NC11)''s fidl � <br /> 11�OI119�'C , <br /> �� ����I���� W�«r boxes to el�dr at end ol'constniction. <br /> ,. P.00tlop drainagc shali bc discharged to thc housc's sidc scwcr. <br /> B Tiuc houcc sh;dl have a �inr,l: sid:sewcr connec6on to ihe ciA� sewer msun. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> 7 / The undersigned owner/applicant hereby agreas to hold and save harmless <br /> the City of Everett from any and all daims for damages,costs,expenses,or <br /> Approved for Co tructi pa causes of action that may arise because of installation and maintenance of <br /> the improvement or other nght-of-way use hereto applied for and further agrees <br /> , O to remove same upon notice trom the City and to replace public property <br /> 3 -��'p dama9edthereby. <br /> FINAL I SPECTI N Date <br /> Approved as Constructed � <br /> , `7-I1-�7 <br /> S n o li Date <br /> WORK AUTHORRED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER 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 />