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G <br />� i0 PO�Tl�G ._`'U�' � ��996 <br /> � APPlica�ion Fo� ._ <br /> PUBLIC WORKS PERMIT °a'e— ���--- <br /> PUBLIC WOAKS DEPARTMENT Public Works Pennit M �� 0�� __ <br /> 3206�Cedar Street <br /> Everett,WA�98201 259-8810 Building Permi'# <br /> ���� <br /> � L� ._. t <br /> TYPE OR PRINT ONLY ' ; (�, �,; , A,ublic Works Fee$ ?� _ <br /> ;6 +i .. � . . . _.. . ----- <br /> Borseth Construction 1241 �tiat�_. e Ave M�syv3l`t�'e '98270 <br /> Owner Maili���g Addrese` . .- { it� r , Zip Phone \ <br /> . r �; r > r L i"i � ` , <br /> TOd Botseth 359-1034 t `.e " ` �n ir Y n �� J r-� �� <br /> Applicant Mailing AUdress City Zip Phone <br /> Describe Proposed Work New house - Basic 1173 � <br /> � <br /> � <br /> v/ <br /> PROJECT ADDRESS(if known) 127 Alder St Lot 19 Parkside East � <br /> Attach four j4)copies of plans for proposetl work-Draw to scale and note ihe following if applicable: O <br /> •Property Lines `Outline and dimensions of all existing and proposed structwes on the lot •Existing and propo;ed utilities <br /> 'Centerline of sireet •Indicate North •Show any proposed grading changes •Show 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. O <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. TOLL FREE NUMBER 1-800-424-5555. ` <br /> r <br /> 4. Keep city etrcets clean at all tlmes. � <br /> 5. Curb gutter and ddewalt in the plat are new and undamaged, any damage theret � <br /> shall be replaced at the discretion of the Public Warks Ins�ctor. <br /> 6. Any change tn the driveway cut muet be approved by the Public Works Inspector, <br /> width at prop line litnited to existing apron width <br /> 7. Adjuet water boaes to grade et end of conatrucHon. <br /> S. Drivewsys�6a11 be completely cured before driving on them. <br /> 9. RooRop drsinege ehall be disehazged to the lots infiltradon trench aa per the city's <br /> "Reddential Roof Downspout 9q�tem" detai! and as per the locatian inPorwatian on � <br /> the lot's dte plan. Any change in the infiltration trench muat be epproved by the <br /> Public Works [nspector. Call for ins�etion prior to covering. <br /> >�� I <br /> //11 ACKNOWLEDGEMEN?OF CONDITIONS ' <br /> . //� ,�/1�+/i- ��j� The undersignetl owner/applicant hereby agrees to hold and save hartnless I <br /> // /`'� 'I�d the Ci�y of Everett from any and all claims for damages,costs,expenses,or � <br /> 4pp ved for�onst ,ion Date causes of action th ay arise because ot installation and maintenance of <br /> � the i ovement or th r right-of-way use hereto applied for and further agrees , <br /> to mo e ame u notice from the City and ro replace public property <br /> � �'3,f'� da ag e y. <br /> ��. <br /> FINAL INSPECTION Date � '� <br /> Approved a5 Constmcted I �\ � '�, <br /> �\ <br /> Sign r o Applic nt Date i <br /> WORK AUTHORIZED BV THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED ND THEREAFfER IS TO BE DILICaENTLY PUHSUED TO ��� <br /> ':OMPLEfION.THIS PERMIT MAY BE CANCELLED 8Y THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. , <br />