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Applictim For <br />PUBLIC WORKS PERMIT Date 8-20--96 <br />PUBLIC WORKS DEPARTMENT Public Works Permit # 96/308 <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 Building I Permit # <br />TYPE OR PRINT ONLY <br />STEVE NOVY <br />Owner <br />Applicant <br />Describe Proposed Work <br />3014 23RD ST <br />Mailing Address <br />Mailing Address <br />ADDITION TO <br />EVERETT 98201 <br />City <br />City <br />]INVERT TO A DUPLEX <br />Public Works Fee $ <br />252-0247 <br />Zip <br />Zip <br />o� 0 <br />Phone <br />Phone <br />PROJECT ADDRESS (if known) 3014-23RD STREET <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: <br />OProperty Lines mOutline and dimensions of all existing and proposed structures on the lot OExisting and proposed utilities <br />OCenterline of street mindicate North OShow any proposed grading changes wShow 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 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 1-800-424-5555. <br />4. Sanitary sewer to be a minimum of 6" diameter from building to <br />sewer main. This may require upgrade of theexistingsewer. <br />5. Water service to be converted to a metered service by the City <br />water department. <br />6. Pave parking area. <br />08/21/96 8"21�IM <br />#00096308 <br />DR. VW111 $20 a go <br />CHECK V2101. 00 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />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 further agrees <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <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 />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />