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AppliCation For <br />PUBLIC WORKS PERMIT <br />TYPE OR PRINT ONLY <br />GRC Homes Inc <br />Owner <br />Owner <br />Applicant <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedr Street <br />Everett, WA 98201 259-8810 <br />TO POSTING Nov 3 0 = <br />10614 56[h Ave NE Mar <br />Date 12-31-97 <br />Public Works Permit N _t1tV014 <br />Building Permit a _ 5754 <br />PUNIC World Fees w — <br />270 360 659 1109 <br />Attach four (4) copies of plans for proposed work -Drew to scale and note the followingif it 57542 <br />applicable: BUILD 842.50 <br />'Property Lines hotline and dimensions of all existing and proposed structures on the lot 'Exl <br />sft 'Centerline of street 9ndicate North 'Show an FBI wic. proposed utilities <br />Y proposed grading changes `Show rrlenurem�e{IUl1S 77.00 <br />-••-• �•••�.+�wr• ___- <br />PERMIT CONDITIONS: Irl10 LING DkIVE 20.00 <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-88 ChhhLG II� 4.50 <br />2. All work shall be Performed in accordance with this permit and current Cite E "tt D*and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NR 1-lTf-6 <br />J_ / <br />r / ��kk6.00 <br />ter, 6fAd'.q oro -IA�S- Si7�C Sher�'l be dorm soTts-,go"'7 <br />C!-I EK <br />19 <br />hol� Svr"r-r't,e <br />1I-7dr d loro�jj iS. A OM4774 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save hanoless <br />the City of Everett from any and a9 claim for damages, coots, expenses, or <br />causes of action that may arise because of Installation and nyyHenence of <br />the knprovemam ofDOW right-of-way use herto applied for and furtheragraee <br />to remove same upon notice from the City and to move pubic property <br />damned <br />oK4.t- <br />Ditto <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT ISSUED AND THEREAFTER IS TO BE Dfl1GENTLy RXIBUED TD <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER go DAYS DURATION. <br />