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� -t� <br />TG PQ�T��- <br />� PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />TYPE OR PRINT ONLY <br />B:.UE RIDG� CONSTRUCTION PO BOX 302 DUVAii, 98019 <br />Date 514/99 <br />Public Works Permit k � <br />Building Pertnit M C6�347 <br />Public Works Fee $ � � <br />206-319—i413 <br />Owner Mailing Address City Zip . Phone <br />� <br />itiiCNAEI, AIRATA • . " � <br />Applicant MaiOng Address - � Ciry � � Zip � Phone <br />Describe Propused'JVork <br />_NEW HOUSE — BnSiC_21 <br />PROJECT ADDRESS (if known) <br />Anacn lour (4) copie� plans lor proposed work - Draw to scale �ind note the follovAng if applicable: <br />• Proverry Lines • OuY,i�e and dimensions ot all ex�:r�ng and proposed structures on the lot • Existing and proposed utiiities <br />• Cunterline ol stre3t • Indicate North • Show any propose�l gradirg ciianyes • Show measuroments <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CUNDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Spaci(ications. , <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />�1 h.rr�� i it� .iucen� rlertn ttt nU Luueri. <br />:'��i I, guliat ;:u�i �:ulcm,ilk n� U�c pi:�t m� uc��;; anrj i�»d+tn�ngc�t. ,tuy dum�tgc U�eiclu slu�!i <br />�,c ic�:le,rc4 ci1 iLc discictaun c�£tlic Pnblir. Work� U:ispector. <br />A�a}� cli,uiE;c iu thc driveecn� � i�t untst Le ripprc�val I,v U�r Yu61tr Worka Iusl�ertw. cciilfl� rtt <br />;nop 1'uir. 1'uuili•.d to exixtiu� nprou �vicltli <br />Adju.t cvutt�r hoy,c ; in g�riric iif cnd of c•ottat.turtion. <br />�•. Urivewa�s Nliall be completalv oUCCtI ��CtUC�- (Il!VIL�; 011 111C. <br />" Roottop draiu.tf;�: ;�1iit1] hc diyrhtitgcd in th: luts vturtn dr��iinag��. siub �,rnvidc�l e�! tlu• lioii� <br />ot tk�e lnt. ('rill lor i;is�icrtiuii p�iur tn � ov� }��i�;. <br />�'�. `.ii�h� st�q•rt :r: �.� t i i�� �:I�ni�L;��l ili�hl. <br />� <br />W <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ovmer/applicent hereby ngrees to hold end save hartnless <br />Me Ciry of Everett from any and all clalms hx demeges, msts, expenses, or <br />causes of acN that may arise M�causa ol fnstallatlon and maintenence of tho <br />improvement r other right-ef�way use hereto applied tor end lurther agrees ro <br />remove sam on notiq� fran the Ciy end reptace public property dam• <br />agedthere . i �/' <br />�(f �� s � 77 <br />igna ure o p ican e n <br />WQRI(AUT}pR�D BYhIIS F'ERA4T NIUST BE STARfED Wfhi1N 780 DAYS (� D11TL• PERMR IS ISSUED AND T}iEREAFfER IS TO 6E qUGEMLV PIF;SUED TO <br />CCMPLETION. T}#S PERMfT MAV BF CANCELIED BV THE IXTY Uf'ON ANY SNppAf`E OF W�7FilC ON T7#S PRQECTOVER 90 OPYS WRATION. <br />