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/ <br /> � �P•ication For 10-29-97 <br /> PUBLIC WORKS PERMIT Date_ <br /> PUBIJC WORKS DEPARTMENT Public Works Permil N �'1 //3 S I <br /> 3200 Cedar Sireet <br /> Everett,WA 98201 259-8810 <br /> �IR 1 6 �99`� Building Permit N 56937 <br /> TVPE OR PRINT ONLY TO POSTI N G public Works Fee S � <br /> Gene Lamoreux 7413 204th St SW Lynnwood 98036 919-2828 <br /> Owner Mailing Address Ciry Zip Fhone <br /> Owner <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new house - Basic 1251 r,_ _,; . ,� . � <br /> I# 56937 � <br /> LAR� '� � 425— 33 u —qi ; it � ^ � <br /> F'LUhi6 77.00 � <br /> � /A <br /> SfiCNG 4.50 V� <br /> PROJECT ADDRESS(if known) 10528 7th Ave SE Lot 1 , ��;12-96 �•� � <br /> Attach four(4)copies of plans for proposed work-Draw to scale and note the following it applicable: '� �n�b' <br /> •Property Unes •Outline and dimensions of ali existing and proposed siructures on ihe lot •Existing an�mpose�,�iUP�7 O <br /> •Centerline of slreel •Indicate North •Show any proposed grading changes •Show measure�erCK ��.00 ' <br /> C � <br /> DO NOT WRITE E�ELOW TIiIS LINE ��i i r = 5. <br /> PERMITCONDITIONS: 60i+1U 33U.�i0 � <br /> 1.All calls for inspection shall be made 24 hours in ajvance- phone 259-88'q01A� �?55.�0 <br /> 2. AII work shail be performed in accordance with this permit and current City of Everett Design arhi'f�EFt � <br /> Construction Standards and 5pecifications. Fl Oh'4443 <br /> 3. Call Location Underground Servi�.e 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> + in:;l:ill an mtillr.diou treuch buill as per Section ;-2.(i.2 and F'igura :md'('abi�• 3-2? ofthe citV � <br /> `;!orui�va�er �1:ui.ieeuteut �I.uu�.d (cvpy's st:y,lad to lliis pertnit}. Tlie it�iillraiiou treucli ,htdl i�e no O <br /> �:i���rr lh;m � fcet !o �ui}' up ;lope prnpe.ily line. or fowidaliou nor cioser ticm 10 feet to any do�vntlo ' a <br /> ;�� �perty lin� or fomid:dion. Cail Puhlic �Vori�s lor mi inspaction prior ro coverin,s tranches. <br /> i:� .�mpl�: '11ii_; ;lniciiu e ha� appror. I �jQ� Sq. I't. uf impreivious root tv ea. 77��reiom <br /> iCa soil cl:L.:; aflnu�rer sraiil i: ci::;:;umed amd itte iiililtration trencli i; consiucle�l <br /> 1t. rle�p«ad:!'t. i,�rd��, ii•om tabie 3-2.' Ihe treuch sLould be � 2 �. Lurt�. <br /> lt coudition� iu ihe �ield var� tiutn Ihosa iu the, ea:uuple - adjust accordiqely <br /> ii::iii� Ihr abo�� ni:°nliunrd !�ibl: a, a eui<Ic. <br /> ACKNOWLE�GEMENT OF CONDITIONS <br /> �I-4'y� � /� �/J/] � // � �� The undersigned ownedapplicant hereby agrees to hold and save harmless <br /> ��j�`�, the City of Everett trom any and all claims for damages,costs,expenses,or <br /> Approved for Constmct�on Date cuuses of action that may arise because of installation and maintenance of <br /> ihe improvement or other righFof-way use hereto applied for and further agrees <br /> ` � -- to remove same upon notice from the Ciry and to replace public property <br /> � <br /> � f�.�P� �� ¢—y�—� damagedthereby. <br /> `�FINAL INSPECTION Date <br /> �pproved as Consimcted �-�7 �j�/ � _ ��^�� <br /> ,� � <br /> Sign ur of Applicant Date <br /> �/10RIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE�ILIGENTLY PURSUED TO I <br /> �N.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PPOJECT OVER 90 DAYS DURATION. <br />