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��r / <br /> �/ Application For / <br /> PUBLIC WORKS PERMIT D82e s—zo-9� <br /> PUBLIC WORKS DEPARTMENT Public Works Permit 8 --��� / /w� <br /> 3200 Cedar Street � <br /> Everetl.WA 98207 259•8810 Buliding Permit M 55208 <br /> TO POSTING �N 1 5 �eee p�,� — <br /> TYPE OR PRINT ONLY Public Works Fee S CiC/ <br /> Hearthside Hames Inc 2911-1/2 Hewitt Ave 116 Everett 98201 303-9665 <br /> Owner Meiling Address City Zip Phone <br /> Owner <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new home ■ , ■ <br /> N �208 W <br /> � <br /> PLUBIF� 84.00 � <br /> 2009 E Grund Ave Lots 1 4•� � <br /> PROJECT ADDRESS(if known) � � <br /> Attach four(4)copies of pians for proposed work-Draw to scale and note lhe tollowing if applicabie: a� � �.� O <br /> •Property Lines `Outline and dimensions of all existing and proposed struciures on the lot •Existing rnd proposed util�� <br /> 'Centerline of street •Indicate NoAh •Show any proposed grading changes 'Show measure�� �•� � <br /> DO NOT WRITE BELOW THIS LINE � �p,pp <br /> PERMIT CONDITIONS: (J�I�jTy �,y Z <br /> 1.All calls for inspection shali be made 24 hours in advance-phone 259-8810. ]Zyb,pp � <br /> 2.All work shall be pertormed in accordance with this permit and current Citrpr�vere�,�i� and <br /> Construction Standards and Specifications. CHEFC 9 <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER��f1��4-5555. � <br /> � <br /> ! Ke,ep cih� streets ckan st �II times. O <br /> :. Iuslall S' wiJr .idaw�dk b�luuJ rzisliu�;curb a�iJ gulter os pei slilO(I7111I �lI'�II I{JOCI OII IIIIJ �11 V41CIIy�5 G1II <br /> �fDId;IC,C � <br /> n Adjust water boxc� to t�ade at end of constn�ction. <br /> ,. Fooftop dr�iagc sh��l bc discha�gcd lo tLc house's �idc scwcr. <br /> 4 Plus housr shall have a �inrle sidt,ew�r comuction to the cirv cewer nrun. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> G � The undersigned owneNapplicant hereby agrees to hold and save harmless <br /> 1 the City ol Evereri trom any and all claims for damages,costs,expenses,or <br /> App v or Co ruction �, ate causes of action that may arise because ot installation and maintenance of <br /> // the improvement or other right-ot-way use hereto applied tor and further agrees <br /> to remove same upon notice trom the City and to replace public property <br /> _� _ 5'f! damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Consiructed <br /> � <br /> a p ic n Date <br /> WORK AUTIIORIZ[D BY THIS PEFMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMR 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 DAiS�IRATION. <br />