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� APPlication For I <br /> PUBLIC WORKS PERMIT Date s-�o-9� <br /> PUBLIC WORKS DEPARTMENT Public Works Permit p <br /> 3200 Cedar Street <br /> Evereri,WA 98201 259•BB10 guilding Permit 8 55206 <br /> r�' POSTING JUN 1 5 1998 �j�,, <br /> TYPE OR PRINT ONLY � � Public Works Fee$�(J <br /> Hearthside Homes Inc 2911-1/2 Hewitt Ave 116 Everett 98201 303-9665 <br /> Owner Mailing qddress City Zlp Phone <br /> Owner <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new home <br /> - - � w <br /> . <br /> — M � � <br /> PLtXBIH6 84.00 � <br /> PROJECT ADDRESS(if known) 2017 E Grand Ave L� 4.50 � <br /> Attach four(4)copies of plans fo�proposed work-Drew to scale and note the following if applicable: ��� � <br /> •PropeAy Lines 'Outline antl dimonsions of all existing and proposed structures on the lot •Ezlsting��ro�ut�Igi�b � O <br /> •Centerline of strezt •Indicate NoAh •Show any proposed grading changes 5how measure�� � � <br /> DO NOT WRITE BELOW THIS LINE �� ��� � <br /> PERMIT CONDITIONS: <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-88�LITY DEV Z <br /> 2. All work shall be performed in accordance with this permit and current Cit�f�vere�'i�and O <br /> Construction Standards and Specifications. �[±� <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBERa-800-424-5s5s;EK .70 <br /> Of� B99 <br /> � krep city stroets cican nt :�I hmcs. � <br /> >. Iusi:�l 5' widc :idr,w;llll LCIIWII Ck15W1�;l'IUII ;111(I �UI�C(85 �1C1 SI811lI:ud plan f{30ti uu Ifus prope�ty's fidl O <br /> h onta^e � <br /> ��. Adjust wnter box�s io eradc ;u end of conshuction. <br /> ' P.00flop dr;w�agc sliall bc dischar,cd to Uu l�ousc's sidc scwcr. <br /> 3 1'hic hou;c sh;dl have a cinrle sidescwcr cotmrction to the city scwer main. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � The undersigned owner/applicant hereby agrees to hold and save harmless <br /> the City of Everett from any and all claims for damages,costs,expenses,or <br /> App oved for Const tion �e — causes of action that may arise because of installation and maintenance of <br /> the improvement or other right-of-way use hereto applietl tor and further agrees <br /> to remove same upon notice from the City and to replace public property <br /> —� ��1 tlamagedthereby. <br />� FINAL INSPECTION Date <br /> Approved as Constructed <br /> atu f Applicant a�e <br /> WORK AUTHOHIZED BV THIS PERMIT MUST BE STARTED IVITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PUFSUED TO <br /> COMF LETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />