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. _. TO POSTING ocT o s�991 , <br /> ., Appliw�ionFor 1-1-597 <br /> � PUBLIC WORKS PERMIT °a'e <br /> PUBLIC�WORKS DEPARTMENT Public Woiks Pertnit# _ <br /> �o��- <br /> `2200 Cedar Street 53945 <br /> EveretYt WA 982�� 259-8810 Building Permit N <br /> �..� •� o o n c5 in c� n �.� ��"� <br /> in n n u� r, u7 �' '' r' �" Public Works Fee S <br /> TYPE OR PRINT ONLY �; -r' <r c� <r c� r �� Gi "= " . <br /> :n ina� �T� .:: �� � . ' n � o; <br /> Steve Landsverk Const 4315:rStrumme Rd BgZhe}1 '980i'2 �PS-0159 P,�one � <br /> Owner Mailing A . ess i�� �? ? -.i �Ciry ci _; u, =` � <br /> ,_, ft r.0 C] :�:. '� ;'> O h.� r.� 1�� f_i •i <br /> i_� f`� ii:i CJ CJ . . 1 O F- C: .i Ui �1 <br /> Owner ��, r.� ..' „� w a rr: .,i n c� »2 :1-! Tn r; <br /> - Applicant Mailing A dfess f. <br /> . City Zip Phone <br /> Describe Proposed Work new house � <br /> r <br /> — <br /> � <br /> PROJECT ADDRESS(if known) <br /> 111 Forest Court Lot 14 Spinnaker Pt � <br /> Attach four(4)copies of plans tor proposed work-Draw to scale and note the following if applicable: O <br /> •property l,ines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities � <br /> �Centerline of street •Indicate North •Show any proposed grading changes •Show measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: O <br /> 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 /> Construction Standards and Specifications. � <br /> 3.Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555• � <br /> q, S(eep oity streete clean at all times• O <br /> 5, Curb g+itter and ��e��k in the pint are ne�v and undameged, uny d8R1°ge thereto <br /> shxll be replacea at the diacretlon of the Pub�'��eVeaocby the Publlc Works lnepector, li <br /> 6, �ny chnnge in the driveway cut muat be ��dth <br /> width at proP line timited to exiatinB P <br /> �, Adjuat tvater boxes ta g►'sde at end oC constru�t�on. <br /> g, Deiveamys shalt b� �°mpletely cured before driving on them• <br /> q, Rooftop drainago shatl be diacharged as follows: <br /> a) Uots 1 thru 1Q shn11 diocharge to splesh blockc or other aPovided at the <br /> bM Lots 11 thru 18 sha11 dia�l�grKe to thn etorm drain �ub p <br /> front of'thc lot. <br /> ���,� ACKNOWLEDGEMENT OF CONDITIONS <br /> � � <br /> The undersigned owner/applicant hereby agn�es to hold and save harmless <br /> , Z� the City of Evereri from any and all claims for�amages,costs,expenses,or <br /> causes of action that may arise because of instcllatlon and maintenance of <br /> Ap roved orC nstruct ate iheimprovementorotherri - -wayuseheretoap,�liedtorandfurtheragrees <br /> to remove s upon n ice m the City and to replace public property <br /> � �G Z _�; 7 damaged t y. I <br /> AL INSPEC N Date � ' <br /> Approved as Constructed <br /> gn ure of icant Da e <br /> COMPLEfION.RTH SD ERMIT MAY BE CANCEU-EDTBY THE CITYIUPON ANY S�TOPPAGE OF WORK ON THIS PROJEC 0 EER 90 DA SEDUILRATIOr N.Y PURSUED TO <br />