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� APPlication For / <br /> PUBLIC WORKS PERMIT Date 4/29/96 <br /> PUBUC WORKS GEPARTMENT Public Works Permit p _���I G / <br /> 3200 Cedar Street <br /> Everetl,WA98201 259-8810 <br /> �� o � � Builtling Permit N Si Sh'i <br /> TVPE OR PRINT OMLY TQ PO STI N G Pubiic Works Fee$ C� <br /> Tim Canfield Const PO Box 3269 Kirkland WA 98083 483-9608 <br /> Owner Mailing Adtlress City 2ip Phone � <br /> Ad <br /> Applicant Mailing Address Ciry Zip Phone <br /> Describe��roposed` �ork New house - Basic 1186 � <br /> r <br /> � <br /> PROJECT ADDRESS(if known) 32 Alder St Lot 2 Parkside E. � <br /> O5/3i/% t0e30pF �6RNbA? �k <br /> Attach four(4)copies ot plans for proposeU work-Draw to scale and note the following if applicable: � <br /> •Property Lines �Outlirie and dimensions of all existing and proposed structures on the lot •Existinq and p��es O <br /> 'Centerfine oi sfreet �Indicate North 'Show any proposed grading changes •Show measurements�q'j s7�,� � <br /> DO NOT WRITE BELOW THIS LINE �� � � <br /> PERMIT CONDITIONS: ��� � � �J <br /> 1.All calls for insp�ction shall be made 24 hours in advance-phone 259-8810. pp �� <br /> 2.All work shall be��erformed in:.ccordance with this permit and current City of��signroand � <br /> Construction Stan iards and Specifications. 1p� pp <br /> 3. Call Locaticn Underground Service 48 hrs. before you dig. TOLL FREE NUM�:424=5555. H <br /> SEWER f70.00 � <br /> S/SDEV 51296.00 <br /> 4. Keep city streeta ciean at all timea. q{Ep( t2411.00 <br /> 5. Curb gutter and sidewalk in the plet are new and undameged, any damage theret <br /> �hall be replaced at the dircretion oP the Public Works Inopector. a <br /> b. Any change !n the ddvewey cut must be approved by the Public Works [nepeator, <br /> wtdth at prop line limited to extrting apron width <br /> 7. pdjast water boaes to grade at end of con�truction. <br /> 8. Drivevw�y��hal! be completely cured before driving on them. <br /> 9. Rooftop drrinage �hs11 be diacharg�d to the lots lr.filtration trench sa per the city's <br /> "Reddentirl Roof Downspout 9ystem" detail and as per the Iocation information on <br /> the lot's dte plan. My change in the infiltratlon trench must be approved by the <br /> Public Work� [ny�eetor. Call foe inspection prtoe to covedng. Trench to be e <br /> minimum oP 14.5'L X 4'W X 3'D. <br /> �� <br /> ACKNOWLEDGEMENT OF CONDITIQNS <br /> ��� � `�/O/G� The undersigned owner/applicant hereby agrees to hold and save hartnless <br /> C � � the Ciy of Everett from any and all claims for damages,costs,ezpenses,or <br /> Approved for Co uction Date causes of action that may anse because of installation and mainienance ot <br /> . the improvement or other rigM-of-way use hereto applied for and further agrees <br /> ��� to remove same upon rtotice from the City and to replace public property <br /> . ���� �o_/ 7,�� damagedthereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed � , J/ ��� /q� <br /> �s.'r1i ( � � <br /> S grature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST 9E STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIC�ENTLV PURSUED TO <br /> CAMPLETION.THIS PERMIT MAY BE I;ANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS PRWECT OVER 90 DAYS DURATION. <br />