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AppllcationForeO • O��I�� — p� _/ <br /> � PUBLIC WORKS PERMIT Date 2-21-96 <br /> PUBLIC WQPKS DEPARTMENT Public Works Permit A _ •`�/O�`� <br /> 320Q:�edar Sireet <br /> Everett,Wq��8201 259-8810 Building Permit# 50920 <br /> 5..� � n � �. f C �,. 'n <br /> TYPE OR PRINT ONLY �. o � - �1 � �� �� � �_j Pubiic Works Fee$� <br /> � - r_ ., �u :,: t �� . <br /> u: ,,. +,+ �,. t �:�.. r: �.1 <br /> Borseth Custom Homes Inc r�12¢�State Ave `;'Mar�tsvi'll"� WA 98270 653-3720 <br /> Ownei Mailing Adtlresy�. � �:� r� �ty cn -�. Zip Phone / ,� I <br /> u, rs, : Cri : M'� � � `- �`� <br /> ' "> C LL! f.l 41 c [.J <br /> aJ Ci Y`� i� C� [,) F O f C� � U. W � <br /> G c{ Q lii <br /> Contact• Kirk Borseth �DaY�?�,tS;=}'1C�Cp:� � �'r -3 s cr 'u; r'�� <br /> Applicent Mailing Addres5. Crty Zip Phone <br /> Describe Proposed WoAc new house W <br /> � <br /> /�/� <br /> _ V♦ <br /> PROJECT ADDRESS('rf known) 4 Aldex ST Lot 9 Parkside East � <br /> Atlach tour(4)Copi�oi plans tor proposed work-Drew to scale and note the following if applicable: O <br /> Y�operty Lines 'Outtine and dimensions of all existing and proposed siructures on the lot •Existing and proposed utilities <br /> �Centerline o�street •Indicate North 5how any proposed 9rading 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. O <br /> 2.PJI work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4245555. � <br /> V♦ <br /> 4. Keep citp etreets clean at all times. O <br /> 5. Cwb gutter end ddevasik in the ptat ue new and undamaged, sny demage theret � <br /> rhrll be replaced at the di�cretion of the Public Works In�pector. <br /> 6. Any cheng�e in the drlvearsy cut mu�t be approved by the Publ9c Works [nspector, <br /> width st prop line limited to e�iug apron wldth <br /> 7. AdJu� weter bo�s to�rade at end of constructlon. <br /> S. Drivoways�hall be completely cured before driving on t6em. <br /> 9. Rooftop dnina�e shall be di�char�ed to the lots itililtreHon trench as per the city's <br /> "Resident3sl Roof Downspout 8y�tem" detail and as per the locwtion informatioa on <br /> the lot's dte plen. My chenee in the Infiltrallon trench must be epproved by the <br /> PuWic Wor4� �n�pactor. Ca11 for in�pectIon prior to covering. <br /> .�(L� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �� � The undersigned owner/applicant hereby agrees to hold and save hartnless <br /> the City of Everett from any and all claims for damages,costs,expenses,or <br /> causes oi action that may arise because of installation and maintenance of <br /> Ap ved for truction � e the improvement or other right-of-way use hereto applied for and tuRher agrees <br /> � to remove same upon notice from the Ctty antl to replace public property <br /> � � y� damaged thereby. <br /> FINAL INSPECTION � �a1e /� ,/)� �- 3� �/ <br /> Approved as Constructed / �/i/ Ji <br /> v <br /> Signature of Applicant Date <br /> �yL;+v„y;;;na�7Ffl BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DIIICaENTLY PURSUED TO <br /> COMPLETION.THIS PERMiT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS VROJECT OYER 90 DAYS DURATION. <br /> 1 <br />