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Application For ' / <br /> � PUBLIC W�rRKS PP_RMIT D81e 4'Z8'98 — <br /> PUBLIC WORKS DEPARTMENT Public Works Pertnit M 1S � I� <br /> 3200 Ceclar Street <br /> E�.eretl,WA 982D1 258-b8�0 <br /> euilding Permft e 58659 __ <br /> TYPE OR PRINT ONLY Public Works Fee S 1� <br /> Welch's Conetruction 6322 76th Dr SE Snohomish 98290 337-3528 <br /> Owner �Mailing Address City Zip Phone <br /> Owner <br /> Applicant Mailing P.�dress City Zip Phore <br /> Describe Proposed Work new house – Basic 1230 ■ , ■ <br /> W <br /> �"" <br /> � <br /> - � <br /> PROJECT ADDRESS(if known) 1507 49th Pl SW Lot 1 SP lll-97 � <br /> Attach four(4)copies o(plans for proposed w�rk-Draw to scale and note the fotlowing if applicable: O <br /> •Property Lines 'Outline and dimensions ot all ezisting and proposec structures or the lot •Existing and proposed utilities <br /> •Centerline of street •Indicate North 5how 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. O <br /> 2.All work shall be pertormed in accordance with this permit and cunent City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> ' F,-.,...�, rin• ;hee�s cic�n sit •dl tinr, � � <br /> t:wb �•uilri ;md sid;;�valk in he pl;u ;ua ncw aud undamia�;ed, airy d�tnage thcrefo sh�ll be reFlaced at th O <br /> dicu�ctinn nf�iic Tlihlic At'oil; Inspec�nr � <br /> , ,\diu�l w,itc� box:s Iv cradc at ri;d ofcousliuclion. <br /> � Ilri�•e�ca��s sh;d! be completr.ly etirci hclorc dri��no on tltem. <br /> + i:oollop dr;iiir,���e sh:ili be disch;in;ed lo iulillralioii trenclics as per Ilie couslniclion drawint;s of thc siio�l <br /> pl;it <br /> � .ldher� to the citv'� sm�ll p<ircei beal mswaue.nieut practice, as stnt�d in section 2-2.2 ol'the <br /> cit�� C��sicn �nci c 'onshiicliori S1and,vel, �md SPeeification� for ll�.��elorrncnt (attaehed). <br /> MAR 2 2 � <br /> �, TO POS�ING <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> C�, / / _ � � � The undereigned owner/apalicant hereby agrees to hold and save harmless <br /> i�O L� the City ot Everetl frorc..�rq and all claims for damages,costs,expenses,or <br /> App oved(g�onstmction Date causes oi action that mny arise because of installation and maintenance of <br /> the improvement or oth:x righ��of-way use hereto appNed for and further agrees <br /> � to remove same upon notice from the City end to replace puWic property <br /> _ .��/����/r- 9-Y-rj � damagedthereby. <br /> FINAL INSPE IION Date <br /> Approved as Constructed <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> GOMPLEfION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 DAYS WRATION. <br />