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Application For <br />PUBLIC WORKS PERMIT <br />fts,74 ![11111l il:i991ziIN <br />Benchmark Guild <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 99201 2G9-9910 <br />O POSTING ocT 1 2 19m <br />O p ti 7 p P U 3r1j t� <br />®r6'e� �4twY-9R'10' <br />O /CJ <br />3 Date 11-6-97 <br />v.l <br />Public Works Permit 1 Cf V3�Ld <br />VBuilding Permit a _ 57028 <br />Works Fee $ <br />le WA 98059 425-641-2737 <br />Owner Mailing Address city " C" j4p Phone <br />Describe Proposed Work <br />new house - Basic 1252 <br />PROJECT ADDRESS (if known) <br />34 82nd P1 SW <br />Lot 1 SP 13-97 <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the followhg It applicable: <br />•Property Lines 'outline and dimensions of all existing and proposed structures on the lot •Existing and p oposed utilities <br />•, enterline of stmel •Indicate 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 />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOIL FREENUMBER1--800-424-SSSS. <br />4, COAviec+ �Jl� wt 8yr,,1 i 4-u 5-L1/� pY�vt Aeo al ibil, to+. <br />5. 5ma i l Fe rce I eras IC+-1 <br />C0'1+vat Ott; rer Seer Z-Z. Z <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agees 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 fmm the City and to replace public property <br />damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STAAiED 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 />