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Date 6/2G/90 r�oecwmwsae�mu. �3C6 _ <br /> ,'i0g Depl.n 90/24971 <br /> Application FOr - <br /> �PUBLIC W�7RKS PERMIT PubTolnlFee`Cc s <br /> LessApCl FeePant $ <br /> Balance0ue S 2� <br /> Print or Type Only <br /> RE-DEL-CO Const. Co. 5]30 Narbeck Everett 98203 348-5860 <br /> Owner Mauing Address Ciry Zip Phone <br /> Qwrtei <br /> Applicant Ma�ang Address City Zip Phone . <br /> Describe P�oposed Work Neu� SFR . _ <br /> W <br /> ProlectAddresslilknown) �t 52 - Ridgewood Terrace_ �3D� —Zh.�� i�R�Sc � <br /> Attach lour(4)copies ol plans lor proposed work- Draw lo scale and note Ihe follc•+•i�g as applicable: � <br /> • Property Lines • Centerlme ol slreel � <br /> • Outline and dimensions ol all ezisling and • Indic�(e No�ih <br /> proposed slructures en�he lot • Show any pr�posed c�rading changes <br /> • Existing and proposed utilities • SI•�ow meas .iamems � <br /> DO NOT WRITE BEIOW THIS LINE O <br /> PEnMITCONDIT�ONS <br /> 1.All calls for inspeclion shall be maAe 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall be pertorned in accordance with this permil and wrrent City ol Everetl De:,ign and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground�ervicE n3 hrs.belore you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> 4.ANY CHANGE IN THE rJRIVEWAY CUT ��IUST BE APPROVEP O <br /> BY THR PUBLlI; WORKS INSPECTOR. <br /> 5.CONNECT DOWNSPOUTS TO PUBLIC URAINAGE SYSTEM. � <br /> B.KEfiP CITY STREETS CLEAN AT AI,L TIMES. � <br /> 7.ANY DAMAGfi TQ THE CURB AND SIDEWALK 47ILL BE REPAIPF.D <br /> TO THE SATISFACTION OF TEIE FUBI��� WORN.S DF.PT. O <br /> a <br /> .�` AC �.� �LEDGEMENTOFCONDITIONS <br /> �11 The under=_igned ���•r/appiicant heret�y agrees to hold and save harm� <br /> less the City ol Everett Irom any and all claims for damoges, costs. <br /> expenses, or �,uses ol action that may arise because ol installation <br /> 1�'LNI��--- Lp — 2`�=Xj and meinter ol the improvement ur othcr riyht�of-way use liereto <br /> applicd tor :.� �; 'drther agrees to remove same upon notice Irom the <br /> Approved tor Cons uction Date City and to re;�ace pubfic pruperty damaged ihereby. <br /> /�/� % �- i �. `� <br /> t/� �1�/ � �� �' �� Il�� �i ` , %� � � <br /> �' <br /> FINAL INSPECTION Date <br /> Approved as Constructed Sign re ol ApPlicant Date <br /> everett PUBLIC WORKS DEPARTMENT W� K AUTHORI2ED BY THIS PERMIT MUST BE 9TARTED WITHIN <br /> 180 DAYS Of D4TE PERMIT IS ISSUF7 AND TH:_FEAFTER IS TO <br /> � 3200 Cedar SVicet BE UILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAV B[ <br /> Everett.WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Nhone:259�8810 pROJcCT OVER 90 DAYS DURATION. <br /> � <br />