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a j <br />Apolication For U <br />PUBLIC WORKS, PERMIT Date 5/31/96 -- <br />PUBLIC WORKS DEPAR, vAENT Public Works Permit 8 _ I G� Z <br />3200 Cedar Streette <br />Everett, WA 98201 2!&8810 Building Permit N 51Rfi2_ <br />NAl 8ognso <br />TYPE OR PRINT�IYPOSTING J�" A A a u' Public Works Fee$ <br />��oxo� <br />Owner Mailing Address .+ City n -_ -- Zip Phone <br />WUW UU� W <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work NEW HOUSE — BASIC 1110 L I 1 <br />rr; <br />J <br />PROJECT ADDRESS (if known) 1616 HOLLOWDALE PL LOT 22 _ M <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: O <br />•Property Lines '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 00) <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 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 his. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />11. Keep city streets clean at all times. <br />5. Curb gutter and sidewalk iu die plat are uew and undamaged, arty duriii thereto shall be replaced at the <br />discretion ofthe Public Works Inspector. <br />6. Airy change un the driveway cut nmst be approved by the Public Works Inspector, width at plop line linuted <br />ebstntg apron widdh. Driveway may taper pndually to nneet garage door entrance (for an approved 3 car <br />garage). <br />'. Adjust water boxes to fade to end of construc6ou. <br />S. Division 2 Lots lots 3.4,5 & S shall discharge rooftop drainage to the lots infiltration treuch as per the <br />"Dispersion'rrench Uetail" on sheet 5 of the plats constructions plans. A precoust uction meeting must be <br />sehednded with Alan Locke (3SS-9655 mob. or 259-8810 office) prior to unstallatlon of the mfdlrabon system. <br />Airy change in the intlin aeon trench must be approved by the Public Works Inspector. sUl other lots in <br />Division 2 shall (hscharec rooftop draohage to the stone drauh snub provided to the lot. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold a,td save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of installation and maintenance of <br />the improvement or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />Signature# Appican Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />z <br />O <br />O <br />a <br />