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� �pliwtion for <br /> PUBLIC WORKS PERMIT oa�e 4-29-98 <br /> PUBLIC WORKS DEPARTMENT Public Works Pertnit# � � � , <br /> 3200 Cedar Street � <br /> Everett,WA 98201 259-8810 ! <br /> �R 2 � �q Building Permit 8 58661 , <br /> TYPE OR PRINT ONLY Tn POSTI NG _�-- public Works Fee S � — ( <br /> � <br /> Welch's Construction 6322 76th Dr SE Snohomish 98290 337-3528 i <br /> Owner Mailing Address City Zip Phone <br /> Owner _ <br /> Applicant Mailing Address City Zip Phone i <br /> Describe Proposed Work new house - Basic 1230 � <br /> — -- � <br /> � <br /> � <br /> PROJECT ADDRESS(if known) 1523 49th Pl SW Lot 3 SP lll-97 � I <br /> Attach tour(4`�copies of plans for proposed work-Draw to scale and note the following ii applica�le: O I <br /> •Property Lines •OuLine and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br /> •Centerline of street •Indicate NoAh •Show any proposed greding changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1. All calls for inspection shall be made 24 hours in advance- phone 259-8610. O <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4245555. � <br /> I '':•;•p rily elrrel�• cican nl ;dl timr<. � <br /> i wb ��uiler :nul :id;w;dl: iu tlir plal :u� nc�r ;tnd uuQa�na��ed. :my d;unap�e Ihrrclo shall bc ��placed al l}� O <br /> rii<rrr,tinn nf th�• FO�hlic AV'nrks ln:pcc�nr � <br /> �i A�iiu;i u,dcr boxcs lo nradc ;d cnd ofi:uusnucliou. <br /> - Ilmr,tvsv� ehall he cmnplrtcl�' cnred belore dli��in� on theni. <br /> . Rooltop Jr,iiva��c shalt bc disehaiC�� IO III�IIIl�h011 IlClll'IIC> :IS (1CI lI1C l'OIISIIlII'�10I1(IIBW'Illf;i 0( IIIC tiI10l1 <br /> ����11 <br /> � �1clh�re to the citc's smali parcel brs( m.waGemenY praclieae as sisded in section 2-2.2 of tha <br /> ,�;r�� t�.,=icr, m�d � '��i��•�ruc•tirni -`.;t:u'id�ird� ;m�! S�,c_•ific;ition� fbr D?��clopmeut (attached). <br /> �f <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save hartnless <br /> � �� G�� �/�/�o the City of Evereri from any and all claims for damages,costs,expenses,or <br /> Appro ed for C nstructirn Date causes of action that may arise because ot installation and maintenance of <br /> P . thaimprovementorotherrighbof-wayuseheretoappliedforandNrtheragrees <br /> L, � to remova same upon notice from the Ciry and ro replace public property <br /> '-./ ,v��� - /� –3 –f� damaged thereby. <br /> 1 <br /> FINAL INSPECTION Date � � (� <br /> Approved as Constructed �\ 1 � � \� � <br /> ✓�J.J.n <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />