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j`,pplicalionFor �':`� �'�45TIN�i°�T o s issi <br />� PUBLIC WORKS PERMIT �a�e 4/10/97 � <br />PUBLIC 1�RKS DEPARTMENT Public Works Permit il CI � Z� <br />32� Cedar Sireet <br />Everett, g98201 259-8810 Building Permit # 54794 _ <br />TYPE OR PRINT ONLY <br />BURI. BRO{dN <br />Describe Proposed Wcrk <br />4 � <br />o r�+ <br />� <br />8406 8TH YL SL � <br />PROJECT ADDRESS (if known) <br />NEId HOUSE <br />�'iov�i�i�' � �o� v� /J� .� <br />rn o� o rli o o.p nPN�Plic Works Fee S_!�J � <br />�O�Oa� N M I(7 t�p.M M <br />N W b v] W[� ��(,�J <br />fiVERETT We$ 9�08'^ �5-1101 <br />Clly <br />H <br />Phone <br />Phone <br />B�OL ��I SG LOT 11 SPOELSTRA ADDN <br />Attach four (4) c�pies of plans for proposed work - Draw to scale and note the tollowing if applicable: <br />•Property Lines •Outline and dimensions of all existing and proposed structures on �he lol •Existing and proposed utilities <br />•Centedine of street •Indicate North •Show any proposed grading changes •Show measurements <br />PERf AIT 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 <br />Corstruction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />1Cootiou drama�e sha�l l�e di�chtu'ead: <br />�'I'o lLe. siir's ,lonn draiu tiy'�irw (privule or public) <br />� To a re5id�ntial roof do�;�ispout systeiu desi,e,��ed pe.r city sta�idvds. <br />• ��nto splash blocks <br />I h� metl�nd ��Iccted n�ill be �nhj�ct �u t'nhliu l��ork� L�spcclo� appre��al. <br />Z <br />� <br />��/j� <br />V♦ <br />O <br />a <br />ACKNO. � LEDGEMEMT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />ihe City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise bewuse of installation and maintenance of <br />ihe impruvement or other right-of-way use hereto applied for and furlher agrees <br />to remove same upon notice fmm the Cily and to replace public property <br />damaged ihereby. <br />G� � � �13��1� <br />Si :,:ureo(Applicant Date <br />WORK AUTHORIZED BY TI-IIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERhlll" MAY BE CANCELLED BY TH9 CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />