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�'� POSTING � 18 � � <br />� �plicatian For <br />PUBLIC WORKS PERMIT Cate 1-9-97 <br />PUBLIC WORKS DEPARTMENT Public Works Pemtit N / O <br />3200 Cedar Street <br />Everett,WA98201 259-8810 BuildingPerm:tp 53�997 <br />NPE OR PRINT ONLY <br />Public Works Fee $ (�� <br />Warbis Consttuction 10832 Willow Rd Lk Stevens 98258 356-7767 <br />Owner Mailing Address City Zip Phone <br />Owner <br />Applicant Mailing Addrass City Zip Phone �� <br />�escribe Proposed Work <br />PROJECT ADDRESS (if known) <br />6121 Fleming St <br />Loc i sPo#:z�� 5:2�r""S OO��N954 <br />Ariach four (4) copies of plans for proposed work - Draw to scale and note the following If applicable: bQQQ53847 <br />•Property Lines 'Outiine and dimenslons of all existing and proposed structures on the lot •Existing and prqpg�d utilHi�49.90 <br />'Centerline of street •Indicate North 5how any proposed yrading changes •Show measurements o� � 47': , 00 <br />�.J �... �..�,� � � ����... �� ��., ���.� ;,,^.C�R6 �4.5� <br />PERMITCONDITIONS: p6;rV�V �^0.00 <br />I��� i' 1. All calls for inspectfon shall be made 24 hours in advance - phone 259-8810. , <br />\'; � 2. All work shall be pertormed in accordance with this permit and current Cit�� of ��be�i�n� <br />Construction Standards and Specifications. 959 J�� <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUM����e00-�,�,55. <br />S5'5DEV 4i.�96.00 <br />L'HECS: 3�E�'1 � 4a <br />!. B�stall an infiltration trench built aa per the city's "Residential RoofDownepout System" deatail � <br />sized as pe.r U�e city's Teble III-3.2 "RoofDownspout Syste.m Siziug" stapled to fl�i5 pennit. Ttte <br />infilirakion trench shall be no closer than 5 feet to any up slope proF�rty line or foundation nor cic <br />tha�i 10 feet to any downslope property line or foundation. C�ll Public Works for :m inspection p <br />to covering trenches. <br />• <br />1 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigried ownedappllcant hereby agrees to hold and save hartnless <br />the City of Everett trom any and all claims for damages, costs, expenses, or <br />causes of actlon that may arise because of Installatlon and maintenence of <br />the Improvement or other rlght-ot•way usa hereto applied for and turther aprees <br />to remove same upon notice from the City and tn replace pubAc properry <br />damaged thereby. <br />�����o <br />Signa Icant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLEftON. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />