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� <br />TYPE OR PRINT ONLY <br />Applicatlon For <br />PUBLIC WORK� PERMl7 <br />PUBLIC WORKS DEPARTMENT <br />3200 GMar Strv�et <br />B�eretl,WA98207 259-881G <br />�'�` �9STlNG oEc o s ts� <br />r' <br />7-15-97 <br />Public Works Permk 8 �7/Z�J _ <br />Building Permit N_ 55942 <br />Public Works Fee S � <br />Robert K Richards III 2723 Riverview Blvd Everett 98203 �53-2963 <br />Owner Maiiing Address Clry Zip Phone <br />Roland Const John Hummel 355-6i2p <br />Applicanl Mailing Address City Zip � Phone <br />Describe Proposed Work new duplex <br />PROJECT ADDRESS (if known) <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: <br />•PropeAy LJnes 'Outline and dimensions of all ezisting and proposed structures on the lot •Fxisting <br />•Centerline of street •Indicate North 5how any proposed grading changes •Show measurei <br />PERMITCONDITICNS: DRIVEWAY Z0.00 <br />1. All calls for inspection shall be made 24 huurs in advance - phone 259-88WOID <br />2. All work shall be pertormed in accordance with this permit and current Citj�tDesign and <br />Construction Standards and Specifications. -�,pp <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE N���00-424-5555. <br />120.00 � <br />N 31201 <br />4. Install <ui inliltration trench Uuilt os per Section 3-2.6.2 fmd Figure aSFeM�ble 3-��QR'the city <br />Stonnwater Man�qement Msumal {copy's atapled to thia peimit). 'I��i�l tr ch shall be n <br />closar U�a�� 5 fee[ to ru�y up slope proparty line or foundation nor clo�ea�ui 1 1� a�ry downai <br />property line or fom�dation. Call Public Worl:s for an inspection prior tu covenng trenc��K <br />�xz..n�G- �, 3 3� 5��'t. rvtrF �,r,cc vs � rK�. La?r�+,c,� &uv�'�� aVz sl : <br />3'� X 3'D -F�►�r.wol� � 33 x.91 = 30'LoY+S <br />�ot�: i�F sB; I cl�ss dr�.r-r '�.�►, cdc�,�,,pl� -1-�►,. <br />�j�s�- ��i e �d a cc.w�dr h� ly . <br />� <br />ACKNOWLEDGEMENT OF CONDfT10NS <br />The undersigned owner/applicant hereby agreos to hold and save harmleas <br />the City of Everett from any and all claims tor damages, costs, expenses, or <br />causes of action that may arise because of installation and maintenancr� of <br />the fmprovement or other right-of-way use hereto applied for and further aprees <br />to remove same upon notice irom the Citq and to replace public property <br />damagr,i thereby. <br />5������L�J/3(�ate <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PUR;iUED TO <br />COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />