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TO POSTING NIIN 2 4 1997 <br />Application For- <br />PUBLIC WORKS PERP4IT <br />TYPE OR PRINT ONLY <br />Ile Blank PO Box <br />Owner <br />Describe Proposed Work <br />PUBLIC WORKS DEERTMENT <br />3200 Cedar StrBet <br />Everett, WA 98201 `d159-8810 <br />to aj <br />n <br />d <br />o• to ci <br />CA O I!l tlT (N.l <br />ri <br />266 Everett RA 962n 355-4i <br />new house <br />PROJECT ADDRESS (if known) <br />6312 <br />City <br />Date _ 1-9-97 <br />Public Works Permit # q7101 <br />Building Permit # 53903 <br />CZ 0 o to <br />ci 't- &blic Works Fee s Z <br />M1 CO Ni <br />i D1 Ni <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: <br />4 SP #11-96 <br />rnona <br />•Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />wCentedine of street `Indicate North •Show any proposed grading changes •Show measurements <br />PERMIT CONDITIONS: <br />1 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />\ 2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />0 Construction Standards and Specifications. <br />3. Call Location Underground Service 48 his. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />Install an infiltration trench built as per the city's "Residential Roof Downspout System" dealail I <br />sized as per the city's fable III-3.2 "Roof Downspout System Sizing' stapled to this permit. Tice. <br />infiltration trench shall be no closer than 5 feet to any up slope property line or foundation nor cic <br />than 10 feet to any doctiroslope propetty line or foufidation. Call Public Works for an inspection p <br />to covering trenches. <br />W <br />H <br />0 <br />Z <br />ACKNOWLEDGEMENT OF CONDITIONS <br />41 �0 X��= MDat <br />� The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />App ved for C Lction causes of action that may adse because of installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and further agrees <br />�G to remove same upon notice from the City and to replace public property <br />O � - >r, � jdamLhy.NAL INSPEC OApproved as Constructed /f Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF D ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAYBE CANCELLED BY THE CITY UPON ANY STOPPAK ON THIS PROJECT OVER 90 DAYS DURATION. <br />