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� <br />� <br />TYPE OR PRINT ONLY <br />Lyla. <br />Owner <br />Owner <br />Application Foc � 1�, ST� h G <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPPRTMENT <br />3200 Cedar Stree� <br />Everett, WA 98201 c`�159-8810 <br />n <br />^i <br />r^ �7 C�. f0 fJ <br />`� L^.. r.� f.t bl t-� <br />� <br />�g. °r ::; n� � n`i <br />Blank PO Box 2266 Ev�re,�'t 98203 35ti'— <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />new house <br />NOV 2 4 1997 <br />Date_ 12-26-96 <br />Public Works Permit q � 7 c.S/z <br />Building Permit p 53852 <br />(� lJ (l <br />U rl :F <br />r.; ,�i Public Works Fee 5�^ <br />' rn r. <br />• n, <br />oa <br />4725"' <br />p.. �, t�', Gity-� __ i•i -� <br />\ L'� . <br />[- C..i i • �'.i:' .1. ? p �.� e i <br />CJ p Ci � r�� l 1 V-' C} � oJ <br />r-i �i i.i r: � ci . - <br />.• �� L. l.� U� i i LY. �O [i� <br />Dr Lot 4 SP /114-96 <br />Phone <br />Attach four (4) copies of plans for proposed work - Drew to scale and note the following if applicable: <br />'PropeAy Lines •Outline and dimensions of all nr.;slin9 and proposed siructures on the lot •F�cisting and proposed utilities <br />� •Centerline of street •Indicate North •Show any proposed grading changes •Show measurements <br />�--- —....---__.. .�.�...�.�.� <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be pertormed 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 />1 hislall o-m fntiltration Irencli huilt �s �,ertire cih's .Residenfial RoofDowrw�>out S��stcm" de�tnil ai <br />sized .is per �he city's'I'ablz 1I1-3.2 ..Roof Co�vnspuut Syateui SizinG" sta��led to this penuii. Zlie <br />iutil4:iliou 4�ncli.h�ill b� ��o elusr.r ll�:m 5 feet to miy up slope propeiiy lin� oi i'owid:ilion uor clus <br />Ifi:m lu l'eet lo ;u�y do�vnslope prop�rty line or ioimdation. Call Public �t�orl:e for :m inr;pectio;i pri <br />to cnv�,rine h•��nclr�s <br />� In;iai�l ai n�.icleud;il tir: ,�,riukl:•: ,v.i�m. <br />�l� <br />5.�elf� -u_ /l-20 - i7 <br />FINAL INSPECTION Date <br />Approved as Constructed <br />WORK AUTHORIZEO BY THIS PERMIT MUST BE STARTED WITHIN 100 DAYS <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY ; <br />� <br />ACKNOW�EDGEMENT OF CONDITIONS <br />The undersigned ownedapplicant hereby agrees to hold and save harmless <br />Ihe City of Everett fmm any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of installation and maintenance of <br />lhe impmvement or other right-of-way use hereto applied for and luriher agrees <br />to remove same upon notice from the Cily and to repla e public p�operty <br />dam ih by. <br />, ��� '��/y, <br />n eofAoolic. .._._ <br />r11T IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br />WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />