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� APViiwtion Fo� 4/29/96 . <br /> PUBLIC WORKS PE.�2MIT °a'8 <br /> PUBUC WORKS DEPARTMENT Public Works PermilN _ ��/f �� <br /> 3200 Cetlar Street <br /> Everett,WA 98201 259-8810 Building Permit M 51561 <br /> � �'QSTING Nov o s �sss o, <br /> TVPE OR PRINT ONLY Public Works Fce$ Z <br /> Canfield Homes PO Box 3269 Kirkland 98083 483-9608 <br /> Owner � Mmling Atlaess Ciry Zip Phone <br /> �� <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work New house - Rasic 1187 � <br /> � <br /> OS/31/96 i0:37AM �Opqbd3 <br /> J <br /> PRWECT ADDRESS;�known) der �y� <br /> 4d..DG 5748.so lil <br /> Attach four(4)copies oi dans for proposeU wo�k-Drew to scale antl note the following if applicable: pLECi 391.00 O <br /> �Properry Lines �Outline and tlimensions�f all existing antl proposed structures on ihe lot •Existing and p��d utilitie�s0 � <br /> 'Cmterline of street Mntlica'a North 5how any proposed grading changes •Show measurements�(?CF$2� $4.50 � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: ���8 , Z <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. WaT� 6,� ;'`�'� <br /> 2.All work shall be performed in accordance with this permit and current City of�U si�9�r� O <br /> Construction Standards and Specifications. � ,., <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUM�-8W��4���i5• H <br /> V♦ <br /> 4. Keep clty atreets clean at ap times. O <br /> 5. Curb gutter end ddewalk in the plat are new and undamaged, any damage theret � <br /> �haq be replaced at the discreNon of the Public Worka Incpector. <br /> 6. Anq chaoge in the drlveway cut must be approved by the Pu61ic Worka Inapector, <br /> width at prop line Ilmited to e�ioting apron wldth <br /> 7. Adjust water boaes to grade at end of conatruct3on. <br /> d. Drivevu�ys�hall be completely cured before deiving on them. <br /> 9. Rooftop drainsge ahall be diecharged to the lots Intiltration trench as per the city's <br /> "Residential Roof Dowaspout 9y�tem" detai! and ao per the (ocation iaformation on <br /> the loYs aite pian. My change in the intiltration trench �ust be approved by the <br /> Public Works Inspector. Call for iaspection prtor to covering. 'french to be a <br /> minlmum of a4.5'L X 4'W X 3'D. <br /> � � ACKNOWLEDGEMENTOFCONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless <br /> � �iC�-e, S�IO�p� the Ciry of Everett from any and all daims for damages,costs,expenses,or <br /> ��� causes of action that may arise because of installation and mainlenance of <br /> Approved tor structi i Date the improvement or other right-of-way use hereto applied for and turther agrees <br /> �- �� to remove same upon notice from the City and to replace public property <br /> � . ,Z-_ U'� 7_y� tlamaged thereby. <br /> FINAL INSPEC ON Date � <br /> Approved as Constructed . S 3 � <br /> Si nature of Applicant � ate <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THE R IS TO BE DILIGENTLY PURSUF.D TO . <br /> COMPLEfION.THIS�EFMIT MAY BE CANCELLED BV THE CIN UFON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br />