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`_ - <br /> � APPlication For / <br /> PUBLIC WORKS PERMIT � <br /> Date 9-25-96 <br /> PUBLIC WORKS DEPARTMENT Public Works Pertnit 8 _ �/JCC.� <br /> 3200 Cedar Street <br /> Everett,WA 96201 259•9810 <br /> Building Permit A 53009 <br /> TYPEORPRINTONLY �� I?OSTING�� ' g1�' �/ <br /> Public Works Fee$_40 <br /> Landsverk Duane 230 174th St SW Bothell 98012 742-2742 <br /> Owner Mailing Address City Zip Phone . <br /> Owner (�,l <br /> Applicant Meiling Address City Zip Phone <br /> Describe Proposed Work new house <br /> W <br /> / �'k'K <br /> : . � <br /> PROJECTADDRESS(ifknown) 107 Forest Court Lot 13 Spinnaker�+� t603.80 � <br /> Attach tour(4)copies of plans for proposed work-Draw to scale and note the following N applicable: NECH 560.0� � <br /> •Property lJnes �Outline and dimensions of all existing and proposed structures on the lot •Existing and pr�Btilitles $4.50 O � <br /> 'CenteAine of streat •Indlcate North 'Show any proposed grading changes •Show measuraments DR IV6Nr 520.� <br /> DO NOT WRITE BELOW THIS LINE q��91� � <br /> PERMIT CONDITIONS: WpTER 5105.00 Z <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. ��B`9 <br /> 2.All work shall be pertormed in accordance with this permit and current City of E��Desig��n� O <br /> Construction Standards and Specifications. �„ ____�� <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUM oini�� � <br /> 4. Keep city atreets clean at aU times. V♦ <br /> S. Curb �uttee �nd ddeaalk in the plat are new and undemaged, any damage the � <br /> shall be replAced at the di�cretion of the Public Work� inspector. � <br /> 6. My chan�e in the drlveasy cut must be approved by the Public Wo�ks [nspec <br /> wldth at prop line litnited to exleting aproa width <br /> 7. AdJust weter bo�ros to grade at end of constructlon. <br /> 8. Drivearay�a!u(1 be oompletelq oured before driving on them, <br /> 9. RoolRop drnina�e ehell be dischar�eed ss follows: <br /> e) 4ots 1 thru 10 shall diocharge to spla�h blocks or other approved device <br /> b) I.ots 11 thru 18 ahall dIacherge to the sto�m dcain atub provided at the <br /> front of the lot. � <br /> �/� 10. lJe�/drivewt� as pr,�- � Plstn �307. i?GQt�cc exts+ d�t�c� <br /> w:-M� -�,►I l�ec�vr+ curb ��#er � si�w:.4� �r st�L p 1�n ak 30 . <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> ,/�/J The undersigned owner/applicant hereby agrees to hold and save harmless <br /> /// �fl/ ���/y� the City of Everett from any and all claims for damages,costs,expenses,or <br /> Approvea ror c�nstructl Dete causes of actlon that may anse because oi Ilation and maintenance of <br /> iheimprovem rotherright-of•way e appliedforandfuriheragraes <br /> ,t' to remove upon notice fro e and to replace public property <br /> /L.{fL 1;�-- J.-�J- l� damag e by. <br /> fINALINSPECTI N Date <br /> Approved as ConsLvcted � <br /> a ure of � Date <br /> WORK AUTHORI2ED BY THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMR ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED 8Y THE CIN UPON ANY STOPPAGE OF ORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />