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� �licatbn Fa <br /> PUBLIC WORKS PERMIT Date 10-14-97 <br /> PUBLIC WORKS DEPARTMENT Public Works Pertnit# ��Z� <br /> 3200 Cedar Street <br /> Evareri,WA g8201 259-8810� '� ' <br /> � � Q � Building Permit# 56786 <br /> TYPE OR PRINT ONLY f� QIISTI N G Public Works Fee$2 V <br /> Gellerson Conatruction 23312 32nd Ave NE Arlington 98223 360-435-0989 <br /> Owner Maiiing Address City Zip Phone <br /> Owner <br /> Applicant Mailir'g Address City Zip Phone <br /> Describe Proposed Work new house <br /> � <br /> � <br /> � <br /> PROJECT ADDRESS(if known) 1408 48th St SW Lot k SP 46-96 � <br /> Attach four(4)copies of plans fo�proposed work-Oraw to scale and note the following if applicabie: � <br /> •Property Lines 'Outline and dimensions oi all existing and proposed structures on the lot •Existing and proposed utilities O <br /> •Centerline of street •Indicate North •Show any proposed grading changes 5how measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: � <br /> 1. All calls for inspection shall be made 24 hours in advance-phone 259-8810. <br /> 2.All work shall be pertormed in accordance with this permit and curcent City of Everett Design and � <br /> Construction Standards and Specificati�ns. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> 10-�8-97 4:52FM � <br /> � 56786 O <br /> E�UII_D 1206.�5 <br /> PLUME 84.00 � <br /> MECH H0.00 <br /> SRCHG 4,50 I <br /> URIVE �D.00 <br /> FLAN Cf; 40.62 <br /> � 9560 <br /> k�ATEk 130,0 <br /> q 31?� ; <br /> SEWER 7G � i <br /> UTILITY 1613.00 <br /> TOTAL 3248.37 <br /> _n CliEK 3248.37 <br /> �� A OM2645 <br /> ACKNOWL[DGEMENT OF CONDITIONS <br /> C� � (� G �/� The undersigned owner/applicant hereby agrees to ho�d and save hartnless I <br /> G(.��� � v �/q� the City of Everett from any and all claims fw damages,costs,expenses,or <br /> Approved for Co tion pa�e causes of action that may arise because of installation and maintenance of <br /> the improvement or other right-of-way use hereto applied for and turther agrees <br /> to remove same upon notice from tlie City and to rep�ace public property <br /> 7��8 dama edthereb!i. <br /> FI AL INSPECTION � Date <br /> Approved as Constructed ` � <br /> � lo- zs^�-j <br /> Signature of App6cant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN id0 DAYS Of�DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENRY PURSUED TO <br /> COMPLEfION.THIS PEflMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. ( <br />