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�� <br />� ��s <br />Appl¢ation For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />E��erett, WA 98201 259-8810 <br />TYPEORPRINTONLY �� "OSTING � � a � <br />; <br />Uate_ 7/2/96 <br />Public Works Pertnit k�1 _ l(�_ _ <br />Building Permit R 52179 __ <br />Public Works Fee S _ __ <br />FAIRPfONT NOMES INC 21902 38TH AVE ld BRIER 98036 356-2435 <br />Owner <br />BOB CANAAN <br />Applicant <br />Describe Proposed Work <br />Mailing Address <br />356-2435 <br />Mailing Address <br />?�EW HOUSE — SASIC 1 <br />Ci�y Zip <br />City <br />Phone <br />Phone <br />oaiisi96 _�:; <br />#oD05^17S <br />PROJECTADDRESS(ifknown) S�OnL 5. �'�7�� f'��G G 'L� 570.00 <br />NEC4 �b0.0� <br />Attach four (4) copies of plans for proposed work - Draw to scale and note ihe lollowing if applicable: SF:CH4G 44. Sl� <br />•Pmperty Lines •Outline and dimensions of all existin,g and pmposed structures on the bt •Existing and p�� utilities,?0., 0� <br />•Centedine of street •Indicate North •Show any proposed grading changes •Show measurements �{p0030746 <br />UV NV I WHI I t[itLVW I F11J LINt q00004053 <br />PERMIT CONDITIONS: WRFER i650.00 <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. rHECt 8?,501, h� <br />2. All work shall be performed in accordance with this permit and current City of Evere�t Design an <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />L'i'i¢li� line rootlop nmoiTto ch•aintue. course at rear of lot. <br />�. Pave driveway ii•om properfy line lo odg�� oCpav�m�ni iu rigld-of-�vtiy. <br />G. Det�eloper is msponsible for couh-olliu,G sile rwioft'Gom S3rd Ave., Wis a�•ill include, bul is no1 <br />limiled to. inatalliqq :i ne�ti• Ct3 per stfmd:u•d �'d02 and conshuctin� sm onitiill lo Ilie di ama�� c•ow•se <br />the Ra��cuua St. R.0.4V. <br />� �� <br />Aoproved as Consiructed <br />W <br />l=+�. <br />/w� <br />V♦ <br />� <br />0 <br />� <br />� <br />O <br />♦�^ <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT Of CONDITIONS <br />The undersigned ownedapplicant hereby agrees to hold and save harmless <br />the City of Everetl from any and all claims for damages, cosis, ezpenses, or <br />causes ol action that may arise because of installation and ma�ntenance ol <br />the improvement or other right-of-way usc hereto applied for and turther agrees <br />to remove,�same upon notice Irom the City and to replace public property <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 18b DAYS OF OATE PERM!T IS iSSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY S70PPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />