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TYPE OR PRINT ONLY <br />Apptication For <br />PUBLIC VIIORKS PERMIT <br />PUDLIC WORKS DEPAii'i"�ENT <br />3200 Cedar Sireet <br />Everett, WA 90201 zss-ee� � q 1997 <br />TO PQSTING ____.-- <br />Date 9/30/96 / <br />Public Works Permit k _ �� �`� • — <br />Building Permit k__�3�57 — <br />Public Works Fee S Z� <br />HARSTAD CONSTRUCTION 2820 86TH ST SE FVERETT 9R208 '��7-4654 — <br />Owner Mailing Address City Zip Phone <br />.pplicant Mai�ing AdCress City Zip Phone r <br />Describe Proposed Work NEW NOUSE — BASIC 1207 <br />PROJECTADDRESS(ifknown) 6G07 BEVERLY BLVD TOT 2 SHORT PLAz�a_qs <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the lollowing if applicable: <br />•Property Lines 'Outline and dimenslons of all ezisting and proposad structures on the lot •Existing and proposed utilities <br />'Centerline of street •Indicale North •Show any proposed gradinq changes •Show measurements <br />W <br />� <br />♦�A <br />V♦ <br />� <br />Ow <br />♦ <br />...�. �.... � ..� �, � � ...��.... ...._ _..._ � <br />PERMIT CONDITIONS: <br />1. All calis 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 />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br />I Instnll au mtiltrafinn trcnch huilt as p�r the city's "Residenti�l Ronfno�vnspout Syst�id' dentail .+� I O <br />417.0(I 8.9 �)Pf U10 Clh''9 T8I1IC TII-.f.2 "RoofDo�mspout Sysrem Sizina_". �I7ie iufiltration trenchey sh II <br />Lc no closer Uism 5 feet lo wiV up slope prope�ly linz ar foimdaliuu ��IS/08 96r il9:�14RMf0�OA�HB �:; <br />do�cnslope propeity Hne or loundation. � . <br />NOo05.zo57 <br />SLpG 5786.70 <br />PL&''i 59:.00 <br />MECH 560.00 <br />SF.CHRG i4.50 <br />DRIVW;' 520.00 <br />Pt.N CH SB1.5: <br />q000.�0656 <br />SEWEi i70.00 <br />^�, S;'SDEV 41�96.00 <br />y��l� <br />ACKNOWLE�NT OP��DI�"�ONS <br />� �/M� The undersigned owner/applicant hereby agrees to hold and save harmless <br />� el ihe City of Everett Irom any and all claims for damages, cosis, expenses, o� <br />causes of actlon that may a�ise because of installation and maintenunce n} <br />Approvedfor onstr ' n � Date theimprovementorolherrigM-of-wayuseheretoappliedlorandfuAheragrees <br />to romove same upon notice from lhe City and to replaco public pmperty <br />/r—� n p j-7 damaged thereby. <br />7'�Ct <br />A INSPE TION Date <br />Approved as Constructed / �� <br />_ nat f Appli n Dale <br />WORK AUTHORIZED 8V THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISS D AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY 8E CA�ICELLED BY THF. CI7Y UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />