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� �Pliwtion For / <br /> PUBLIC WORKS PERMIT Date 4-29-98 <br /> PUBLIC WORKS DEPARTMENT p�y�k yya�Pe���* <br /> 3200 Cedar Sireet <br /> Everetl,WA 98201 259�Y10 P 2 � Building PermR 8 58660 <br /> m POS�'ING 'w� <br /> TYPE OR PRINT ONLY Pub�ic Works Fee$� <br /> Welch's Conetruction 6322 76th Dr SE Snohomish 98290 337-3�28 <br /> Owner Mailing Address City Zip Phone <br /> Owner <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new house — Basic 1230 � <br /> � <br /> �� <br /> PROJECT ADDRESS(if known) _ 1521 49th Pl SW lot 2 SP lll-97 � <br /> Anach four(4)copies of plans for proposed work-Draw to scale and note the following if applicable: � <br /> •Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities O <br /> •Centerline of street •Indicate North 5how any proposed grading changes 5how measurements <br /> DO NOT WRI7E 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 current City of Everett Design and O <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> ' b'�•r�p cin� ���r:•e�c �'.le;m al ell �imn� � <br /> � i iub ruti�i ;wd ,ide��;dk iu Ihr pl;�l arc ucw :ind uudama��ed, auy Jama��,c ILe�elo 5L8II IIC IC�Ilaced al Ih O <br /> �liscrefinu of ihe Rihlic �i%orke fnspccror � <br /> ,� Adiust uaidr boxec lo e�:ide al cnd o(cousin�cliou. <br /> .' (hit�ctv9vs sllall bC Con:�lic�cl�� cnrr,d befbro drit�r.g on thcm. <br /> �� Roollop drainake :h;dl bc ;.:charE ed lo infiilraliou IrcucLes as per Ihe coustnictiou drawinKs of thc sho�1 <br /> f�l:rt <br /> `� :\dherr Yo tl;c+ cilt�', ,mxil p��rc��l Ucst nian�ement practices .�s stated in section 2-2.2 uf the <br /> �•ii�� ��e:ie.n ;ond i 'on�lrnction Stv�dards and Sp�:citications for De�•eloptnent (attached). <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �'t ' �/� � The undersigned ownedapplicant hereby agrees to Frold and save harmless <br /> M� _ 8 the City of Everett from any and all claims for damages,costs,expenses,or <br /> Approved(or C�aRstruction Date causes of action that may arise because oi installatbn and maintenance of <br /> (j the improvement or other nghbof-way use hereto applied for and further agreas <br /> / �� � to remove same upon notice from the City and to rep�ace public property <br /> .i�-!�.'-- _ `__ �i— �_ damagedthereby. <br /> FINAL INSPECTT6N Date <br /> Appmved as Constructed n , <br /> �nJ <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 /> COMPLEfION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON iHIS PRQIECT OVER 90 DAYS DURATION. <br />