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pppucation For 4/29/96 -� <br />' � PUBLIC WORKS PERMIT °a`B <br /> PUBLIC WORKS DEPARTMENT <br /> Public Works Permit# �"' � <br /> 3200 Ceder Street <br /> Everett,WA 98201 258-8810 Building Permit 11 51560 <br /> NPE OR PRINT ONLY T�� �p ST I N G NOV 0 5 1gy6 Public Works Fee$ Zv <br /> Tim Canfield Const PO Box 3269 K�lYkland 80�P 4 � Phor�e O <br /> Owner Mailing Address <br /> Applicant Mailing Address <br /> City Zip Phone <br /> Describa Proposed Work New Hovse — Basic 1187 �tt: <br /> ! � <br /> � <br /> e(.p� 5746.50 �/� <br /> �/♦ <br /> PROJECT ADDRESS(if known) 28 Alder St Lo I . /� <br /> lil <br /> Attach tour(4)copiss of plans for proposed work-Oraw to scale and note the`ollowinq ii applicable: ORRI(�1N1 �.� O <br /> Wroperty Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and pr�ks � <br /> CeMerline of slreet •tndicate North 5how any proposed grading changes •Show measurements 61RTER f105.� <br /> DG NOT WRITE BELOW THIS LINE � ='�p.OD � <br /> PERMIT CONDITIONS: SV5UEV �f1296.00 <br /> 1.All calls for inspection shall be made 24 hours in ad4ance-phone 259-8810. �39g•pp O <br /> 2.All work shall be performed in accordance with this permit and current City of verett Design and <br /> Construction SFandards and Specifications. � <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBEN 1-800-424-5555• <br /> V/ <br /> 4. Beep city dreets clean at all tlmes• d an d tden�t O <br /> 5. Curb qutter end ddewslt in the plat ere new and und�mege , Y �eB� � <br /> stwll be replaced at the di�cretion of the Public YJorks Iaapector. <br /> 6, Aoy changet 3n the drlvewsy cut must be ap�roved 6p the Public V{larks 1n�ector, <br /> width At peop line limited to exi�ting epron wldth <br /> 7. Adjust weter boaes to�rade at end of aonstructlon. <br /> 8. Privew�ys�h�ll be oomP�etely cured before driviag on them. <br /> 9. RooRop drainaQe she11 be dis�l�e*Bed to the lota inliltraHon trench ss per the city's <br /> "Re�identirl Roof DownsQout 9yoteai det�il pnd as per the Ioa�Hon inform�tion on <br /> the IoYs Nte plan. My chaoge in the inliltrstion treneh must be epproved by the <br /> Public Woek� [n�peotor. Call for in�pection prior to covering. 1'rench to be a <br /> minimum o[14.5'L X 4'W X 3'D. <br /> ACKNOWLEDGE":1ENT OF CONDITIONS <br /> The untlersigned owner/applicant hereby agrees to hold and seve harmkss <br /> �/1///-�, the Ciry of Everetl from any and all claims for damages,costs,expenses,or <br /> ��G.(,�� I/ / q��.i �d C causes of action that may arise because oi installation antl maintenance oi <br /> qpproved for Con � ction �a1e the improvement or other right-of-way use hereto aPW�ed fa a^d fuhhe��g� <br /> to remove same upon notice from the Ciry anG to replace public property <br /> / damaged t�ereCy. <br /> /�f`/J /i'.,� iG—/ J�yl <br /> �u'�� Date <br /> F AL INSPECTIO J( <br /> Approved as Constructed �� <br /> Si a4ure of Appli �e <br /> CpHIRpLET10N.RTH S ERMIT MAV BE CANCELLED BYTHE CtTV IUPON ANY STOPPAGE OF WORK ON THIS PROJEC OVER 90 DA SEDULRATroN v PURSUED TO <br />