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OOL PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />TYPE OR PRINT ONLY T� POSTING AUG 0 4 t997 <br />DB Johnson Conet Inc 1801 Grove St Unit B Mary <br />Owner Mailing Address ra.. <br />Data <br />Public Works Permit ar _ / �44-1 <br />Building Permit N 5,3673 _ <br />Public Works Fee $ /�,�— <br />98270 659-1579 <br />Owner <br />Applicant Marling Address City ZIP Phone -- <br />Describe Proposed Work new house <br />PROJECT ADDRESS (if known) 2010 63rd St SE <br />Lot 2 SP 018-96 <br />Attach 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 <br />'Centerline of street •Indicatu North •Show any proposed grading changes •Show measurements <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 />"onstruction Standards and Specifications. <br />.all Location Underground Service 48 his. before you dig. TOLL FREE NUMBER 1-SM-424-6555. <br />01/06/97 4.40FM OOOAN'" <br />#00053677) <br />BLDG $667.DD <br />PLBO %63.00 <br />MECH $60.00 <br />SRCHR3 $4.50 <br />ORIWI? $20.00 <br />PLN CH %7.41 <br />4000S0919 <br />SEWER $70.00 <br />SYSOEV S1296.00 <br />CHECK s21B7.91 <br />M <br />O <br />z <br />O <br />C0♦♦i/� <br />O <br />CL <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 Applcant 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 OVFR 90 DAYS DURATION. <br />