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u. <br />� ' <br />Date 1/30/95 � �_ ��� Pu0licWodsPcrmil�--�%�-- <br />emc. oeo�.• tty$�?---- <br />Application For <br />PUBLIC WORKS PERN�T PueToleFaefee , <br />�p t n5 F00�� Fae Paid f % <br />p p p p s ce Oue S y p.�—�--- <br />p p p O l�f 7 O O <br />Print or Type Only T� pOSTING �I�- Q � <br />� mrioo�c� o,o.. <br />.+ �o �u .� +e r� r- o� .r <br />u� w a.rt .n .. cv o <br />O` _ . N rw � M <br />McCallister Const <br />Owner <br />Ken McCallister <br />Applicant <br />Describe Proposed Work . <br />Project Address (if known) <br />Mailing <br />� `xQ City vp'c > <br />p �p� Gs]G C=.].� <br />�3i�ia'i �So <br />f� <br />City <br />Z{o � „ Phone <br />P5 � <br />��yJ-�x <br />Gl N Ll <br />Zip Phone <br />Attach four (4) copies oi plans for proposed work - Drew to scale and note tne following as appl:cable: <br />� Property Lines <br />• Outline and dimensions ol ail existing and <br />proposed struclures on the lot <br />• Exis�ing and proposed uti�ities <br />� Centerline ot street <br />� Indicate North <br />� Show any proposed grading changes <br />• Show measurements <br />PERMIT CONDITIONS <br />t. All cells tor inapection shall ba ma�ie 24 hrs. in advance - phone 259•8810. <br />2. All work shell be peAormed in accordance with this permit and current City ot Everett Design and Construction <br />Stenderds and Specificationa <br />3. Call Location Underpround Servtce 48 hrs. befcre you dig. TOLI FREE NUMBER 1-800�424-5555. <br />4. Rooftop drainage shall be discharged: <br />• To the site's sbrm cirain .ryEtem (private or public) <br />• To a residentiaJ roof downepout system desim�ed per section 4-9.4 of the <br />city standards <br />• Onto splash blocks <br />'I1�e method selected will be subject to Public Works Depnrtement app�cvaL <br />., ^ � I`' 'S, <br />�r � <br />qpproved as Constructed <br />/� PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everel6 WA 98201 <br />Phone:259•8810 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm� <br />less ihe City of Everetl from any and all claims tor damages, cosls. <br />ezpenses. or causes of aclion that may arise because of installation <br />and maintenance ot the improvement or other right-ot�way use herelo <br />ypplied tor and further agrees to remove same upon notice irom Ihe <br />City and to replace public property damaged thereby. <br />� <br />��y,� ......__ <br />WOR AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 YS OF DATE PERMIT IS �SSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF VJORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />