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� APPlication For /� <br /> PUBLIC WORKS PERMIT Date 5-20-97 ' <br /> PUBIIC WORKS DEPARTMENT Public Works Pertnil 8 / � O� <br /> 3200 Cedar Street <br /> Everett,WA 98201 259-8810 Bullding Permii N 55207 <br /> TO POSTING �UN 1 5 1998 q� � <br /> TYPE OR PRINT ONLY Public Works Fee$ �/ ' <br /> Hearthside 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 /> � <br /> � <br /> V♦ <br /> PROJECT ADDRESS(if known) 2013 E Grand Ave Lata 9 6 10 � <br /> Attach four(4)copies of plans for proposed work-Draw to scale and note ihe lollowing if applicable: O <br /> •Property Lines 'Outline and dimenslons of all existing and proposed structures on the lot •Ezisting and proposed utllities <br /> •Centerline of street •Indicate North •Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All calis for inspection shall be made 24 hours in advance- phone 259-8810. O <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 /> 1 lirrp cih� sheels cle,m :it a!I times. � <br /> �. luslali 5' wide sidtw:dk Loh�nd existuig cwb auJ guuer as per sl,mdard plau f}30G ou Ilus prupedy's li�l O <br /> GOlII:IL� a <br /> n. Adjusl w:ucr boxcs to �raile at end o(conshuction. <br /> '. l:outlop drainagc sh�ll bc dischargcd to ihc housc's siJc scwa. <br /> S Clus house shall have a �inele sidescwer coimection to the cin� scwer maui. <br /> ACKNOWLEDUEMENT OF CONDITIONS <br /> 7 Tha undersigned owneNapplicant hereby agrees to hold and save hartnless <br /> the City of Everett from any and all claims for damages,costs,expenses,..r <br /> Ap vetl for Con ructiu D e causes of action that may arise because of installation and maintenance of <br /> the improvement or other righbof-way usa hereto applied for and further agrees <br /> /� � to remove same upon notice from the C'y and to replace public property <br /> � �— a�,,f�{ damaged thereby. <br />� PI L INSPECTION Date <br /> Approved as Constructed <br /> i <br /> Signature of Applicant Date <br /> WORK AUTHORIZED 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 CIlY UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 DAYS DURATION. <br />