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TO POSTING NON� <br />Application For <br />PUBLIC WORKS PERN2lT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 90201 (425)257-8810 <br />/�• l, <br />Date 5/4/99 ` <br />' Public Works Pertnit M_ '1 � � <br />,,. <br />�_ Building Permit S_ C 62J50 <br />TYPE OR PRINT ONLY '� Public Works Fee $ r%lO — <br />, - <br />� . . � � =; :- , � - <br />BLUE RIDGE CONSTRUCTION PO ROX 302 DUVALL 98019 206-815-7413 <br />Owner • AAaflingAddress � City .� � 2ip Phone <br />CONTACT: MICHAEL HIP.ATA �- <br />Applicant - � MailingAddress � � �-0iy �- ��- -� Zip Phone <br />Describe Proposed Work <br />NEW HOUSE- BASIC 2037 <br />PROJECTADDRESS (ii known) <br />Attach tour (4) copies pla�s for proposed work - Draw to scale and note the lollowing if applicable: <br />• Property Lines • Outline and dimensions of all existing and proposed structures on the lot • Ex�c�ing aM proposed utilities <br />• Cento�line of street • Indicate North • Show any proposed grading changes • Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />7. All calls for inspection shall be made 24 hours in advance - phone (425) 257-BB10 <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 hrs. before you dig. TOLL FREE NUMBER 1•800-424-5555. <br />'I. Rcep city xhcets cicau xt. n.11 tiine9. <br />5. �.'�trh gtitter rwd sidct��tilk iii tLc plat ur� new etud tiuidewtitgcd, eui,y dfuuage tLeicto elie�ll <br />bc replaecd e�t Uic �liscrelion u( tlu Public R/orka Lnspector. <br />n• lu�y cl.uuige iu tlro cLrivicecery cn1 nuist bc xpgrov:.d by tLe I'iiblic Worka Gispr.etot, width af <br />tirop (in.e limitccl to i�xisliuG atirou �vidti <br />'r'. Adjuwt �i�nter l,ox:cH to gx,ide nt eud ot`cutistruction. <br />3. Uiivewa.�va sl�eill be complctely cnred before cLxiviug ou tlic. <br />'�. Rooftnp dr:iin�ge �Ln�.l be clischaug,ed to t.l�c lots xtoriu drniunge Rtub prnvided ait tli� lio�it <br />ot t.lic lot. t'�ll fur inspcctiott prio+� to covctuig. <br />"�. Ridt+ sc ct ei n�: ��cr � tt�' st;�t�dztr�l !1C!) l. <br />�M <br />�/ � <br />� �.c�;:— �'-d f�- 99 <br />FINAL INSPECTION Date <br />iApproved as Constructed <br />W <br />� <br />� <br />Y� <br />L� <br />� <br />� <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/epplicant hereby agroes 10 hold and save hartnless <br />the Ciry of Everett han any and all clalms for damages, cosb, ezpenses, or <br />causes of acNon mat may arise because oi tnstellatlon and maVntenance ot the <br />improvement other rightol•way use hereto applied for aM tuAher agrees ro <br />remove sa no ' irom the Ciry and replace public propery dem- <br />aged Mare � � <br />// /�Q <br />L� �,.Z 7! <br />igna ure o p�can a <br />WORK AUT110�i�D BY THIS PERMR MUST BE STAqTED V�rtT}IIN 1B0 DAVS 7F DATE PERMR IS ISSUED N�A TtEfEAFiER IS i0 BE Dl1GENTLY PURSUEp 7p <br />OOtiPLEf10N. i}MS PEHMR M4Y BE CANCFJIED BY iYE CfTY U�'ON ANY STt�PK3E OF WOFI( ON 71#S PRO.ECTOVER 90 DAVS IX1RAT10N. <br />