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� ��IicationFor 4/30/96 / <br /> PUBLIC WORKS PERMIT °e'8 <br /> PUBLIC WORKS OEPARTMENT Public Works Permit N "I CL'//90 <br /> 3200 Cedar Street MAR 0 3 1991 <br /> Everett,WA98201 259-8810 <br /> Bullding Permit k 5],57 S <br /> TYPE OH PRINT ONLY � � '�����I�� �' Public Nbrks Fee$ Z� � <br /> SST, Inc 2802 116th Dr SE Everett WA 98203 334-3932 <br /> Owner Malling Address Ciry Zip Phone <br /> Larry 334-3932 � � <br /> Applicant Mailing Add�ess City Zip Phone <br /> Describe Proposed Work New houee - Basic 1188 � <br /> �"k?'::: <br /> / /�� <br /> V♦ <br /> PROJECTADDRESS(ifknown) `�- 119 Alder St Lot 178�3f'rksidE4ffi•85 <br /> Attach four(4)copies of plans for pmposed work-Drew to u.ale and note the following if applicable: PffCH S60.OQ � <br /> �Property Lines �Outline and dimensions of all axisting and proposed structures on the lot �Existing and prc$RCsiS6tilNies 44.50 O <br /> �Centerline of street 9ndicate NOAh 5how any proposed graCing changes 5how measurements UR�VINl 520.00 � <br /> DO NOT WRITE BELOW THIS LINE �7ER f105.00 <br /> PERMIT CONDITIONS: 1�3Q674 Z <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. c�� x70,pp O <br /> 2.All work shall be performed in accordance with this permit and current City of Cajc�De§�qnp� <br /> Construction Standards and Speciflcations. ���; k^pgp,35 <br /> 3.Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. H <br /> V♦ <br /> #. Kaep city etreete clean at all timee. O <br /> 5, Curb gutter end �Idewallc in the ptat are new end undamaged, enp demats theret <br /> stwll be replrced rt the diacretion of the Public Works Inspector. a <br /> 6. Any chan�e in the drlvemay cut mud be npproved by tde Publlc Works lnspectot <br /> width at prop line limited to esisting apron width , <br /> 9. Adjust water bo�to�rsde at end of�onstrucHon. <br /> e. Drive�wys�hull be completelv cured befare driving oa them. <br /> 9. RooRop dratnsQe ehatl be dlschnr�ed to the lots inflitration trench as per the city's <br /> "Reddential Roof Downspout $y�em" detail snd as per the location informatioa on <br /> the lot'a dte plan. Any chan�e in the intiltration trench must be epproved by the <br /> Public Works Inspector. Call for in�pection priar to covering. <br /> — . ACKHOWLEDGEMENT OF CONDITIONS �. <br /> / Fl�e undersigned owner/appliwnt heeeby agrees to hold antl seve hartnless <br /> �//„ �J��� the Ciry of Everett from any and all claims for damages.costs,enpenses,a <br /> P vY causes of action that may adse beceuse of installation and maintenance of <br /> Approvedfw tru on Date theimprovementorotherrigM-oi•wayuseheretoappliedforandluAheragress ' <br /> � � to remove same upon notice from the Ciry and to re{Nace puWic property I <br /> ,�;�.iL. /:� //_ �j _ yL demagetlthereby. , <br /> ��,._f� <br /> FI L INSPECTION Date � - � ������� +� <br /> Approved as Constructed �.. <br /> (�_� <br /> S gnature oy � wM �. <br /> WORK AUTHORIZED BV THIS PERMIT MUST BE STARTED WITHIN 180 DAVS OF DATE PERMIT IS ISSUED AND 7HEREAFfER IS TO BE DILIOENiLY PURSUED TO <br /> COMPLEf10N.THIS PERMIT MAV BE CANCELLED BY THE CITV UPON ANV STOPPAGE OP WORK ON THIS PROJECT OVER 90 DAVS DURATION. �7 <br /> I <br /> I <br />