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/ <br /> � �Pliwtion For / <br /> PUBLIC WURKS PERMIT Date�18/96 <br /> PUBLIC WORKS DEPARTMENT Public Works Pertnit# _ —� �`� <br /> 3200 Cedar Street <br /> Everetl,WA 98201 259-8810 Building Permit# s2911 <br /> r: n pO�TINfi oc�---°= a— <br /> TYPE OR PRINT ONLY , �; � Public Works Fee$ 2 <br /> STEVE LANDSVERK 4315 STROMME RD BOTHELL 98012 338-0159 <br /> , Owner Mailing Address City Zip Phone O <br /> � <br /> Applicant �Aailing Address City Zip Phone <br /> Describe Proposed Work NEW HOUSE _ � � 1 <br /> W <br /> � <br /> � <br /> 30/ib/96 1 • ^ x <br /> � �`;�p / <br /> PROJECTADDRESS(ifknown) �!ClFORFST rT __ � <br /> Atlach four 4 co ies of lans for ro sed work-Draw to scale and note the followin ii a licable: �� �ig'� . <br /> . ( 1 P P P Po 9� PP � =98.00 O <br /> � `Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •6clsting and pr��d utilitie�.� <br /> 'Centerline of street •Indicate North 5how any proposed grading changes •Show measurements �G 54.50 � <br /> DO NOT WRITE BELOW THIS LINE ` • <br /> PERMIT CONDITIONS: q00009147 � <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. ��'' 5105.OD <br /> 2.All work shall be performed in accordance with this permit and cunent City of ��ign_an�d O <br /> Construction Standards and Specifications. s�� <br /> ' 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUM�����5. � <br /> ' +HEC1: 52472.OQ <br /> 4. Keep city �treets elean at al( times. � <br /> 5. Curb gutter and sldeweik ln the plet are new and undamaged, eny damege theret O <br /> shr/l be replaced at the di�cretioa of the Public Workr In�pector. a <br /> 6. My chenge in the drlvewnq cut must be spproved by the Publlc Works Inepector, <br /> width at prop line limited to esisting apron width <br /> 7. AdJust weter boxea to grads at end of conatructlon. <br /> 8. Driveways�ttall be completely cured before driving on them. <br /> 4. Rooftop drainege shall be dierharged as follours: <br /> aJ Lota 1 thru 10 ahall ditcharge to splash blocks or other approved device <br /> b) Lntu 11 thru 18 shell cliseharge to the storm drain atub prc�vided at the <br /> front ot the lat. <br /> � <br /> //77 ACKNOWLEDGEMENT OF CONDITIONS <br /> � // �` _ ,^n ,/ � ���/�I The undersigned owner/applicant hereby agrees to hold and save harmless <br /> �Y �_ /l /r/ G��n � y/ ihe City of Everett from any and all claims for damages,cusis,expenses,or <br /> ���6 J�•J J �W�� �,�� causes of action that may arise beca e of installation and malntenance of <br /> App�r nstruc' n Date theimprovementorotherright- t-way seheretoappliediorandfuRheragrees � <br /> "�/�� to remove me upon no' irom t e City and to replace public property <br /> Wr� ..�_ i0- L - y 7 damaged r by. <br /> � FINAL INSPECTION Date L / cr / <br /> . Approved as Consiructed �LT �U /` <br /> i ure plicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMff IS ISSUED AND THEREAFfER IS TO BE DILICaENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />