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� APWmation For . _— <br /> PUBLIC WORKS PERMIT Date 2-12-96 <br /> PUBLIC WORKS DEPARTMENT '- Public Works permit k � � <br /> 3200 Cedar Street ,�u <br /> Everett,WA g8201 259-8810 ` <br /> .� Bmidmg Permit A 5�854 <br /> TYPEORPRINTONLY �Q POSTING �"�� —�� '- •- r 'i r' � '-� r�� {�'�J�, <br /> � :. . � �blic,yyorks�Fes,$� G(J� <br /> v:. r�.. r-�i y;: r <•.. <br /> William Ha es PO Box 3561 Everettr98203y 252-2946�i � r:i '° " <br /> �'^� Mailing Atldress <br /> � i i -rZ� c Phone �.j� <br /> cf Cit� <br /> O- . CD 4't L 1 •L C3 : l)InJ [ � -. V, <br /> �W[!ET r� �-� �' [� G "., �i r [i ^:: 4 I.�: <br /> 4'� .... RI uc G:'. � GC �' l�1 <br /> �nt T i` r s il C. [t 3f'. (+� rr r-� <br /> Mailing FWdress <br /> C� Z�P Phone <br /> Describe Proposed VVork . new house <br /> W <br /> F- <br /> _ <br /> PROJECT ADORESS(if known) 111 Alder St Lot 15 Parkside East � � <br /> AHach fa+r(<1 copies of plans for proposed work-Drew to scale and note the following'rf applicable: m <br /> '�Pe11Y�� 'Outline and tlimensions of all existing and proposed structures on the lot •Existirvg and proposeC utilities O <br /> 'Centerline of street •Indicate North �Show any proposed greding changes 5how 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 O <br /> Construction Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4Z4.5555, <br /> /�/� <br /> 4. Keap city otreeb clean at all times. YJ <br /> 5. Curb`utter and ddewslt in the plet ero new and undema�ed, anp dama�e the O <br /> �11 be replrced rt the dtscretion of t6e Pub1iQ q/orlu In�peCtor. � <br /> 6• �Y�ben�e la the driveway cut murt be epproved by the Public Works In�pector, <br /> width at prop Iine llmited to e�d�tiag apron �vidth <br /> 7• Adjuat water boaea to p�ads et end of construcHon. <br /> B. Drivewsys�6�11 be completsly cured beCore driving on them. <br /> 9• Rooftop drdn��e �hail be di�char�d to the lots Litiltrallon t�rench aa per the city's <br /> "Re�ideatiat Root Downspont 8y�tem" detai! end as per the locetion informaHon on <br /> the bt'�dts plui. Any c}iange in the lniiitration trench mud be approved by t1�e <br /> Public Works Inq�ector, Ca11 for inspectton prior to oovering. <br /> � <br /> � ACKNOWLEDGEMENT OF CONDI710NS <br /> �7 The undersigned owner/applicant hereby agrees to hold antl save hartnless <br /> G the City of Everett from any and all claims for damages,costs,expenses,or <br /> '� ��fOf ate causes ot action that may anse because ot installation and maintenance ot <br /> the improvement orother nghhot-way use hereto applied forantl further agrees <br /> to remove same upon notice irom the CNy and to replace public property <br /> � 7•,t)sL tlamagedthereby. <br /> FINAL INSPEC N Date <br /> �l��9d 3S Ci0/1SIfUClpf1 � � � <br /> Signature of Appl�cant � Date <br /> ""�K AUTHORIZED BY THIS PERMIT MUST 8E STARTED WITHIN 180 DAVS OF DATE PERMIT IS ISSUED AND iHEREAFTER IS TO BE D:LIGEN7LV PURSUED TO <br /> �LEfION.THIS PERMIT Mqy BE CANCELLED BY THE CITY UPON ANV STOPPAGE OF WORK ON THIS PWQIECT OVER 90 DAYS DURA710N. <br />