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. 1 <br /> i Appliwtion For / <br /> � PUBLIC WORKS PERMIT Date Z-5-96 <br /> �""" PUBLIC WORKS DEPARiMENT L 2�j <br /> 3200 Cedar Sireet Public Works Permit q �J7 <br /> Everett,WA 98201 259-8810 <br /> � O 3 �uilding Permit p 50789 _ <br /> T�'PE OR PRINT ONLY F� POSTING ^�-t�c Works Fee$ c.CJ <br /> Duane Landaverk 230 174th St SW Bothell 98012 742-2742 <br /> Owner Mailing Address City Zip Phone _ <br /> - Owner � <br /> - Apptleant Mailing Addmss City Zip Phone <br /> Describe Proposed Work new houae ^ c� � r� <br /> / W <br /> *'_C8c s768,SD � <br /> v� . , c. Z ♦A <br /> PROJECTADDRESS(ifknown) 115 Forest Court �`��H 360,00 r� <br /> �Rf H4� 4t �� � <br /> Attech four(4)eoples of plans for proposed�york-Dratv to scale and note the following if applicable: �E'���r ��0.70 <br /> 'Property Lines 'Outline and dimensions of all e;IsNng and pmposed structures on the lot •Ex(sting and prDBoseH�qUlWey�`�`'� O <br /> Lente/line of street •Indicate North 5how any proposed grading changes •Show measurements tfC�L��8�U0 <br /> n'R7EF. 8i05�� ' <br /> DO NOT WRITE BELOW THIS LINE �• • <br /> PERMIT CONDITIONS: SEW�' 270.t�0 � <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. S'1SDE6' 3';,c�3,pp <br /> 2.All work shall be perfcrmed in acccrdance with this pertnit and cunent City of�l�t D�"gh7ari8 O <br /> Construction 5tandards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. hefore you dig. TOLL FREE NUMBER 1-800-424-b555. � <br /> 4. Keep city dreets clean at aU tlmes. � <br /> 5. Curb guttae �ad ddeaall� in the p4t�re new aad undamaL"edr �Y �°uLs t6seet O <br /> �ll be replaced �t the di�crotlon of the Public Work� In�pector. � <br /> 6. M9 ch�n�e 1n the drlvewry cut mu�t be eppcoved by the PubUc Worb In�ector, <br /> wldth at prop line limitad to e�d�tln�sprua wldth <br /> 7. Adjust water boae�to Qrede at end ot construcdon. <br /> 6. DrivewaY�thaU be aompletely oueed before driving on them. <br /> 9. RooRop dr�ainuu�e ah�p be di�cher�ed ns follows: <br /> �j Lots 1 thru 10 �hall di�oharge to �pLsh blaaks or ot�asr �pproved device <br /> b) Lob 11 thru 18 shtll disehae�e to the �tornn dnln �tub provided at the <br /> front of the lot. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> `J/f � / The unders(gned owner/applicant hereby agrees to hold and save hartnless <br /> /r/ the City of Everett from any and all claims mages,costs,expenses,or <br /> Approved for Con tion ete causes of actio at may arise of tallatlon end malntenance of <br /> theimpro rotherright-of- yuse retoappliediorandtuAheraglees <br /> c����_(�/ �L— � �f` d gov t �upon noHc m t City and to reptace public property <br /> FINAL INSPE TIOR Date <br /> Approved as Constructed `L <br /> �T <br /> / <br /> f P Date <br /> WORK AUTHORIZED BY THIS PERMR MUST BE STARTEU N'ITHIN 180 DAYS OF DATE P td ISSUED AND THEREAFfEF IS TO BE DIUGENTLY PURSUED TO <br /> COMPLETION.THIS PERMR MAY BE CANCELLED 8Y THE CIN UPON ANY STOPPAG � ORK ON THIS PRWECT OVER 90 DAYS DURATION. <br />