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TYPE OR PRINT ONLY <br />Application For <br />PUBLIC WORKS PERMIT <br />PUBLIC WCIRKS DEPARTMENT <br />320C Cedar Street <br />Evered, WA 98201 259-881 D <br />F�' POSTING �E��pg� <br />Address <br />Date 7/2/96 <br />Public Works Permit # �� %O <br />Building Permit k q� � p � <br />Public Works Fee 5 �' <br />Ciy Zip <br />Applica Mailing Address City Zip Phone <br />Describe Proposed Work <br />08/13/96 1D:l0A�i QC1pRtS7?}. <br />N0005�.g1 <br />PROJECT ADDRESS (if known) �� � L� , <br />g70. p0 <br />Attach four (4) copies o( plans for proposed work - Draw to scale and note the following i( applicable: S�CFIFG • <br />•PropeAy Lines •Outline arid dimensions of all ezisling antl proposed structures on Ihe lot Existin and�t� ¢4.50 <br />•Centerline of strect •Indicate Norih •Show an � � 9 P���d utilitie�9�0. 00 <br />y proposed grading changes Show measuremen1s�0000 i O51 <br />:�QiF�C 3F.Sf1 •Vl <br />PERMIT CONDITIONS: - � " "' ` v"v" ' � �"' "'"` ewusu'l45 <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. SVSDEV f1?96.00 <br />2. Ail work shall be performed in accordance with this permit and current City of��ptt DQ�g� <br />Construction Standards and Spacifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 7-800-424-5555. <br />!. Tiqld linc roottop nmotl'lo dr.unsi¢e cour;e at re�r oClot. <br />?. I'�ve �L•ivews�y &om prope�iy line to edqc oi'pnvenrent in riglit-ot=way (dri��eway widt6 in �mblic <br />ripJrt-of-wap mxy be limited fo 12' to reduce nmol}). <br />G. Developer is respousible 1or controlliqG site nmoti'f'roro S.3rd Ave., Ihia ���ill include, but is uet <br />liinited to. installinR a ne�e C'L3 per stat�d:11'(J ��UZ flll(I C0115(ILC11114 F111 OWt:tll 10 tlic ch'ainaee comxe <br />tlie Ra� enna St. R.O.1V. <br />r� <br />i �— <br />Approved as Constmcted <br />/G-2/-y` <br />♦�� <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owne�'applicant hereby agrees to hold and save hartnless <br />Ihe Ciry ol Everett from any and all c!aims for damages, cosis, expenses, or <br />causes of action that may arise because of installation and maintenance of <br />the improvement or other righbo(-way use hereto applied for and fueher agrees <br />to remove same upon notice from the City and to replace public property <br />dam�ed ihereby. <br />ua�e <br />WORK AUTHORIZED 8Y THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS SUED AND THEREAFfER IS TO BE DILIGENTLY PURSUCD TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />