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. .�� "�STING JUN 1 5 1998 � <br /> � APPlication For <br /> PUBLIC WORKS PERMIT �a�e s—so-9� <br /> PUBLIC WORKS DEPARTMENT Public Works Permit N —/ <br /> 3200 Cedar Stree'. <br /> Everen,WA 98207 �59-8870 <br /> Building Permit A 55209 <br /> NPE OR PRINT ONLY Public Works Fee$_ �r <br /> Hearthside Homes Inc 2911-1/2 Hewitt Ave It6 Everett 98201 303-9665 <br /> Owner Mailing Address City Zip Phone <br /> Ow:;er <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new home _ � <br /> � <br /> � <br /> PROJECT ADDRESS(if known) 2005 E Grand Ave Lots 13 & 14 � <br /> Attach four(4)copies of plans lor proposed work-Draw to scale and note the following it applicable: � <br /> •Property Lines butline and Aimensions ol all ezisting and proposed siructures on ihe lot •Existing and proposed utilities O <br /> •Centerline of straet •Indicale North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br /> 2.All work shall be pertormed in accordance with this permit and current City of Everett Design and O <br /> Construction Standards and Specifications. <br /> 3. Call Location Uiic'�;ground Service 48 hrs. before you dig. TOLL FREE NUMBER 7-800-424-5555. � <br /> I Keep city strcets clean af all times. � <br /> 5. lusl;d� 5' wide sidcw:dk LehuiJ cxistiue.cwb aud guitcr as pei sl�uiJwd pl�ui Sl3cKi ou qos propeil�': liill O <br /> honla�e � <br /> 6. Adlust watcr boxes to �fade ;rt end of comM�ction. <br /> '. Footlop diainagc ;hall bc �ischargcd lo lhc housc's sidc scwcr. <br /> � Plii� houc; shall h���e a sintlr sidcsru•cr co�mcction to the city cewer main. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> - � � The undersigned owner/applicant herehy agrees to hold and save harmless <br /> the City of Everetl from any and all claims for damages,costs,expenses,or <br /> Appro d or Co struction pa�e causes of action that may arise be�:ause oi installation and maintenance of <br /> ihe improvement or other right-of-way use hereto applied for and tuhher agrees <br /> to remove same upon notice from the City and to replace public property <br /> �r�� 3' �j,y'S� dam by. <br /> FINAL INSPECTION Date <br /> Approved as Construct=d �w�7 <br /> Si n ' �pplicant r� <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WIiHIN 180 DAYS OF DATE PERMR IS ISSUED AND THEREAFfER IS TO BE DILIGENTLV PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CfTY UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />