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/ <br /> � � ��tion For 2-21-96 <br /> PUBLIC WORKS PERMIT °a'e <br /> � O t p�UBUC WORKS DEPARTMENT Public Works Permit# � <br /> TO POSTING _ 3Z°°�a`S„"` <br /> --",WA 98201 259-88�0 <br /> - Building Permit p <br /> TVPE OR PRINT ONLY �}! i � r� -�� � C: i� �} C:Public Works Fea$ 50923 <br /> .. vi .y ; C . p: <br /> Borseth Custom Homes Inc �1241;'State„Ave� (g�xy�vilYe°WA 98270 653-3720 <br /> Owner Mailing Address r- ��� i� r ,; � , ri , - Zjp Phone � <br /> d; ci � -� c- i � r. �i c:i; �J <br /> p.l �� !:: � �}. � S . 1�.1 <br /> Contact: Kirk Borseth or ;Darr�tL.Dutq r, ,� ;,, � , T, <br /> Applicant Mailing Address �� City Zip Phone <br /> Describe Proposeo Work new house . , ■ <br /> W <br /> � <br /> � <br /> _ � <br /> PR0.IECT ADDRESS(it known) _ zl Alder St Lot 12 Parkside East � <br /> Atlach four(6)copias of plans for proposed work-Draw to scale and note the following if spplicable: O <br /> �Property Lines 'Outli�e and dimensions ot all existing�nd proposed strudures on the lot •6cisting and proposed utilities <br /> �Centerline o(street Mntlicate North 5hc�x any proposetl gretling cnanges 5how measurements� � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <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 /> Construdian Standards and Specifications. <br /> 3.Call Locatio�Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. H <br /> V/ <br /> 4. Keep dty �tteets clean at all tlmes. <br /> 5. Curb guttee emd ddewelk in the plet aro new aad undam�`ed, anp dnw�e t6eret O <br /> �twll be replaced at the di�cretion of the PuWic Works iaspoctor. a <br /> 6. Any chenge ln the driveany cut mud be approved by t6e PubHc Work� Ia�pector, <br /> width et prop line llmited to esisHng rpron wldth <br /> 7. Adjust awter boxes to gade at end of can�ttucdon. <br /> B. Driveways�haU be completely cwed beforo driving on them. <br /> 9 Roof'top drsin�s ahsll be dischar�rod to the lob infiltration trench ss per the city'� <br /> 'Re�identul Roo[Downspout Sy�tem" detail and as per the locatioa iaformatioa op <br /> the lot's dte plan. Any clun�e in the infiltrallon trench mwt be epproved by the <br /> Public Wort�in�pector. C�II foe inspection prior to covering. <br /> �� <br /> ACKNOWLEOGEMENT OF CONDITIONS <br /> G The untlersigned owner/applicant hereby agrees to trold and save harmless <br /> the Cily oi Everett from any aM all claims for damages,costs,expenses,w <br /> causes of action that may arise because of installation and maintenance of <br /> for � stru 19 Dat ��mprovement or other rigM-of-way use hereto applietl for and further agYees <br /> �� � to remove same upon notice trom the CNy and to replace puMic property <br /> �. ��Y'y� damaged thereby. <br /> A <br /> FI I 3PEC N Date '^ /' <br /> npproved as Constructee �/ 3— �—`�� <br /> Signature of Applicant Date <br /> WORK AUfHOHIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGEN?LV PURSUED TO <br /> CAMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />