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� <br /> � <br /> �///�''�� �y� <br /> WwDlicatio� Fo pp STING fe "Zl —46 � <br /> ,��� PUBLIC 1�IOfiK�I�ERMIT oa�e— 3i�i96 <br /> �'' � 9G�' <br /> PUBLI�OFKS DEPARTMENT Public Works Permit q <br /> 0 Cedar Street <br /> Everett,�A 98201 :59-8810 <br /> Builtling Permit#,_ 5�007 <br /> TYPE OR PRINT ONLY � � $ g � gG M s $ g g '�"�' �f��. <br /> � If� r� � � [J e� � l� p'�. ��Works Fee$�O <br /> 0 N M N � N (�.J <br /> Borseth Construction " 12 State Ave rs}*S le �98270 <br /> �'�'n� Mailing Ad .. r!,��, t .: Zi� Phone ��� �. <br /> � �d� S� � i75 � � � � � � 4� ` J <br /> Todd Borseth 359-1 4 �' G <br /> APW���� Mailing Adoress City Zip � Phone <br /> Describe Proposed Work New house <br /> - W <br /> F- <br /> � <br /> PROJECTADDRESS(if known) 131 Alder St Lot 20 Parkside East � <br /> Attac�tour(4)wpies of plans for proppsed work-Draw to scale and note the following if applicable: � <br /> 'Property Unes �Ou[line and dimensions of all existing and proposed structures on the lot •Existing antl proposed utilities � <br /> `Centerline of street •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-BS10. <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 1-800-424-5555. � <br /> 4. Kaep city streeta clean at all timea. � <br /> 5. Curb gutter and adewalk in the plat are new and undemeged, any damage tfieret O <br /> , �hr11 be repixced at the dircretion of the Public Works In�pector. /� <br /> 6• Any chanQe in the drivemay cut muet be approved bp the Public Worka Inepector, �� <br /> width at prop iine limlted to eacioting apron w'sdth <br /> 7. AdJust weter bo�to grade at end of consMuction. <br /> 8• Drivewaqs�hall be completely cwed befoee deiving on them. <br /> 9. RooRop dreluage ehail be dischar�ed to the lots 1nf11tretion trench as per the city's <br /> "Reodential Roof Downspout i9ystem' detail and as per the location informatlon on <br /> the lot's dte plea, Any �hange in �e intiltretiop trench muat be approved by the <br /> Public VVorks Inspector. Call for inapection prior to covering. <br /> i�/�" <br /> "e ACKNOWLEDGEMENTOFCONDRIONS ' <br /> - //��f.� ---���� i The untlersigned ownedapplicant hereby agrees to hold and save harmless <br /> ��( l.P{'� ',/,�l!�v the City of Everett irom any and all claims for damages,costs,expenses,or <br /> ApproveG for C truction paty �7 causes of action ihat ay anse because of installation and maintenance of <br /> � thei mentoro e right-of-wayuseheretoappliedforandfuriheragrees . <br /> / to r ov sa e u otice from the City and to replace public property <br /> �-�c�— U -/7-f� da g e <br /> FINAL INSPECTION Date <br /> Approvetl as Constructed <br /> Sign re plican Date <br /> 1NORK AUTHORIZED 8V THIS PERMIi MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AN THEREAFfER IS TO BE DILIGENTLV PURSUED TO <br /> CAMPLE'f10N.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PRUJECT OVER 90 DAVS DURATION. <br /> I <br />