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� <br />� <br />NPE OR PRINT ONLY <br />Owner <br />npplication For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar St�eet <br />Everett, WA 98201 259-8810 <br />TC POSTING �- a�� <br />Date 5-14-97 <br />Public Works Pertnit # � <br />Building Permit # 55116 vv <br />Public Works Fee $ � <br />Schaudies 3301 Grand Ave Everett 98201 -i6�-9985 <br />Aaaress <br />North Sound Builders Marty Lai 653-2512 <br />Applicant Mailing Address ���y <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />Grand Ave <br />Z�P Phone <br />onuer5,on �n fi <br />� 55116 <br />PLUMBIf� 98.00 <br />SURCHAR(',E 4.50 <br />Atlach four (4) copies of plans for proposed work - D�aw to scale and note the lollowin if a licable: �� <br />9 PP N 31184 <br />•Property Llnes 'Outline and dimensions of all existing and proposed structures on the lot •Existing a�osed uti�� <br />•Centerline of street •Indicate North •Show any proposed grading changes •Show measurem�t({� $�,10 <br />_ ---- ....__..._ A OR1027 <br />ERMIT CONDITIONS: <br />1. All calls foi inspection shall be made 24 hours in advance - phone 259-8810. <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 />� fho �v�l��r Scrvice sur��lyme Ihc. ��rap„H}' miist be npe���ded ta :i nrt��red seivice <br />�. Upm•Fide .idesewer servica to tiinch. <br />u. ��Y' �����u or dsuit�grd sidewalk sLall be repairecUreplacad at iLe direction ofthc: �iit put,lic wui <br />iusp:ctor. <br />%:\nv gradin,qltill on lhis lot shall be done so �s to not impact tlt�: swiroundin.g I'ropeiti�s <br />�. I hc allay ou tlii, propeity's Gontace shall improvad pc:r city st�uidm•d pisw �303, includiuG iwv <br />u�•��s�tu�� cL;iiun�e coulrol (cFitcL basiu). � sill ihz public worl;: iu.pectm• for ai �n e con�hu�tion <br />urclin5 Prior to b� einiqC �vork al ±3 �-7:If)3. <br />W <br />� <br />♦�A <br />v♦ <br />� <br />O <br />529 0 <br />� <br />O <br />`�A <br />v♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersignetl ownedapplicant he�eby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of Installation and maintenance of <br />the improvement or other right•of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public property <br />damaged the <br />i� ��— � <br />ig ature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFiER IS TO BE DILIGENTLY PURSUED TO <br />COMPLEfION. THIS PERM.IT MAY BE CANCELLEU RY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 9� DAYS DURATION. <br />