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{ .1{4pplicationFo pSTING �-���- �� <br /> PUBLIC �fORK��ERMIT °aie— 3i1�96 <br /> � PUBLI �ORKS DEPARTMENT Public Works Permit R _9�� <br /> Cedar Street <br /> Everett, A 98201 259-8810 Building Permit k_ S 1007 <br /> � g g �S M�i s g 8 s .N- Works Fee$ �lJ��• <br /> TYPE OR PRINT ONLY � .y�+ � � � � � g � � �� <br /> � M N .-+ �` <br /> � Borstth Construction "' 12 State Ave rs}"S le N98270 - � .. <br /> Owner Maiiing Atl s� � � ��"� � t �� �� Phone ; � 1 <br /> t� � <br /> Todd Borseth 359-1 4 � � � � G <br /> ApPlicant Mailing Ad ss City Zip Phone <br /> pescribe Proposed Work_ New house � <br /> � <br /> �� <br /> _ �// <br /> PROJECT ADDRESS(if known) <br /> 131 Alder St Lot 20 Parkside East � <br /> Attach four(4)copias of plans tor proposed work-Draw to scale and note the following�f applicable: O <br /> Yroperty Lines `Outline and dimensions of all existing and proposed stmctu�es u:.tne lot •Existing and proposed�tilities <br /> �Centerline of street •Indicate North •Show any proposed grading changes •Show measurements ^ <br /> ♦ <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. a <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and V <br /> Construction Standards and Specifications. � <br /> 3.Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555• <br /> V♦ <br /> 4. Kaep c3ty atreeta clean at al! time�. O <br /> 5. Curb gutter and �idecwdk in the ptat are new and undamaged, any dac►�age theret <br /> shell be replaced at the discretion of the Public Worhs inspecitoe. � <br /> 6. Any chan�e, ia the driveway cut must be spproved by the Publtc 11Vorks Inspector, <br /> width at prop tins limited to existing Rpron width <br /> 7. Adjnat water bo�s to grade at end of construction. <br /> g. Drivewnqs�hali be complately cured before driving on them. <br /> 9. Roaftop draittsge ahall be di�cher�ed to the lots infiltration trencit ar per the city's <br /> "Re�dentiel RaoT Downspout System" detail end ss per the location iaformation on <br /> the toYa ute plan. P-ny change in the infiltration trench mu�t be approved by the � <br /> Public Works Inspector. Call for in�pecNon pri�� to coveflng. i, <br /> � ACKNOWLEDGEMENT OF CONDITIONS . <br /> �� The undersiRned ownedapplicant hereby agrees to hold and.save hartnless I <br /> the City of Everett trom any and all claims for damages,costs,expenses,or <br /> causes ot action that ay arise because of installation anc'maintenance of <br /> Approvetl for" truction �a�e the im ment or of rigM-of-way use hereto applied for and further agrees � <br /> Q / to r ov sa e up otice irom the City and to replac�e public property <br /> � �s-t U '/7-fL da 9 e <br /> FINAL INSPECTION Date <br /> Approved as Construded , � <br /> ,�_. ___' Date <br /> Sign re plican � <br /> COMPLETION.RTFIIS ERMIT MA YBE CANCEIgLED BY THE CITVIUPON ANY SOTOPPAGE OF WORK ON THIS PROJEC O ER 30 DA S UIRh�TIONLY PUR$UED TO <br />