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� <br />� <br />AppllEution For <br />PUBLIC W�RKS PERMIT Date <br />OSTING � O J �Q7UBLICWO�ICSDEPARTMENT <br />3200 dar Street <br />� � � rett, WA 201 259-8810 <br />gg8 � <br />TYPE OR PRINT ONLY m ,., ,., e` <br />Homea 2023 239 <br />Ma���ny Ad�re <br />Owner <br />Describe Propased Work <br />PROJECT ADDRESS (if known) <br />��� <br />new house <br />1516 W Mukilteo Blvd <br />/ <br />8-15-96 <br />Public Works Permit 8 � �ll� �3C' � <br />/Huilding Permlt N _ 52584 <br />Public Works Fee $ Z� ^ <br />483-1065 <br />Zip Phone <br />Attach tour (4) copies of plans for proposed work - Drow tc scale and note the following if applicable: <br />Zip <br />Phone <br />Lot 3 SP 115-96 <br />•Property Llnes �Outline and dimensions of all existing and pmposed structures on the lot •Fxlsting and proposed utilities <br />�Centertine of street •Indicate North •Show any proposed grading chenges •Show measurements <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 pertnit and cunent 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 />� <br />4. RooRop drainaga ehall be diccharged to the lots lniiltration trench as per the city's <br />"ReddenH�l Roof Do�vnapovt 9y�tem" detai! end as per the Iocallon informetion on <br />Llie lot'c dte pian. Any chrnge in the infiltration h�ench �nust be wpproved by tlie <br />Publlc Works Inspecto�. Ce11339-7403 for Inepection prior to covering. <br />� <br />O <br />/�/� <br />V♦ <br />O <br />a <br />OB/23/96 12:29PM OOOpN7385 RR�k� <br />/ <br />M0005c5B4 <br />BLD6 f841.00 <br />PLBIi 591.00 <br />!£CH l60.00 <br />SRCfRf3 /4.SQ <br />o�iwv kro.00 <br />PLN CH f516.65 <br />N000.'S0760 <br />ACKNOWLEO�NT OF ��NS <br />The undersigned ownedapplic�pt,ppQqqy apr,aYlito�d end save harmless <br />the City of Everetl from any and'�R'L��ns�9 , costs, expenses, or <br />causes of acYon that may aris�nse e and maintenance of <br />the improvement or other right-of-way use hereto applied for end turther agrees <br />to remove same upon notice from the City and to replace public property <br />tlama9ed reby. <br />\ . �L-� <br />gn re of App' n — D e <br />�i" <br />WORK AUTHORIZED BY THIS PERM�T MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGEN7LY PURSUED TO <br />COMPLEiION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE 0� WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />