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/ <br /> ApPlicetion fo• ' <br /> PUBLIC WORKS PERMIT �e�a 9/6/96 , � <br /> � PUBLIC WORKS DEPARTMENT Public Works Permlt M — ..3 <br /> 3200 Cedar Street <br /> Everetl,WA BB201 259-8810 Building Permit N_ �79� <br /> ��� �'QSTING �' — <br /> TYPE OR PRINT ONLY �'�� Public Works fee S_/� <br /> Mizage Nomes 13518 42nd Ave W Mukilteo 98275 787-2885 <br /> Owner <br /> Malling Address City ZIp Phone <br /> Duane Lange 187-2885 (Cell 239-4862) <br /> Appllcent Mailing Addreas Clty Zip Phaie � <br /> Describe Proposed Work Cons[ruct new house W <br /> � <br /> ��/�� <br /> 09/16/96 11:42li11000RN7 Yk/K� <br /> PROJECT ADDRESS(it known) �.�y� m <br /> Attaeh lour(4)coplas o1 plana lor proposed work-Draw to scele end note lhe lollowinp il appticable: �� 1819.62 O <br /> •Property lJnea 'Outline and dimenelons ol all eKlstlnp end propowd etructures on the lot •Existinp end p�d utllltle�� � <br /> �Centerllne of sUeet •Indicate NoAh •Show eny propoeed 0redinp chenpes 'Show meeeu�ementa � ��(p � <br /> �� DO NOT WRITE BELOW THIS LINE ��� ��� � <br /> FERMIT CONDITIUNS: <br /> 1.All calls(or Inspectlon shall be mede 24 hours in a.dvance-phone 259-8810. �9107 O <br /> 2. All work shall be pertarmed In eccordance with th g permit and current City of�e3��� <br /> Construction Standerds and Specificetfons. � � � <br /> 3. Call Locatlon Underground Servfce 48 hrs. before you dig. TOLL FREE NUM "�16 00 <br /> CFECY 12762.12 <br /> 1 Keep cify streets clean nt all limes O �p� <br /> �. Cwb guller �uid sidewalk in lhe plat mc uew aud iwdamuged. ;ury J:uuege p�eia�o shall b� rtplaceJ at lh � <br /> discrotion oFlhe PubGc Works Inspector. <br /> n. Am change m Ihe �4ivewrry cut must be approved by tl�e PW In�ector,width at prop W�e limiled to <br /> eristing apron wiJUi. <br /> �. Adpis1 water boxes to �de at end of constmcfion. <br /> k. llm•eways xhnll be completety cured beFora driwiK on thcm. <br /> 7 Rooflop drtinage sha0 be discl�arged: <br /> • tn the sitr's Hini nirb storm droin <br /> �� ACKNOWLED(3EMENT OF CONDITIONS <br /> /,/�� �� The undaralgned owner/appllcent hereby eprees to hold end eave hermleee <br />, �. L �7 the Clty of Everen Irom eny end ell clalma fa demeqes,costn,expenaee,or <br /> ceuses ol ectlon that mey adse because ol Instellalba end malntenance ol <br /> Ap mvxdtor tructl Dete thelmprovemento�otherrlght�of•weyuseherntoepplledlorandfuAMraprees <br /> � to remove eeme�pon notice from the l:lty end to roplsce publk property <br /> ,, <br /> 3-/i•f 7 eg `°ny' <br /> " �/n'-- <br /> FINAL INSPECTI Date � _ <br /> Approved ea Constructed �� "�S "lb <br /> Slpneture o1 �1° <br /> COMPL ON.RTH SDPERMIT MAY BE CANCELIED BY THE CIIYIUPON AN S�TOPPA6E OF WORK ON THIS PROJEC OVER 80 DAYS UU`RAn�Y PURSUED TO <br />�s,.;r. � �. . � . _.,'",,�zta4� <br /> I <br />