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App�ication For 3/11/96 ` <br /> � PUBLIC WORKS PERMIT Date <br /> PUBLIC WORKS DEPARTMENT Public Warks Permit# `!�l o� <br /> 3200 Cedar Street <br /> Everett,WA 98201 259•8810 Building Permit p 51077 <br /> TYPE OR PRINT ONLY <br /> '� �' �OSTING NOV�–�--� PublicWorksFee$ 2� <br /> DAROLD PHINNEY PO ROX 976 98206 337-6832 <br /> Owner <br /> Mailing Address City Zip Phone <br /> GARY PARKINSON 252-2�53 <br /> Applicant Mailing Address �itY ZiP <br /> Phone <br /> NEW HOUSE � <br /> Describe Proposed Work <br /> � <br /> ��/� <br /> V♦ <br /> �31 O r`� `t'� ��r LOT 2 SHORT PLAT 32-93 � <br /> PROJECT ADDRESS(if known) <br /> Attach four(4)copies of plans tor proposed work-Draw to s..ale and note the following if applicable: Q <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 <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-B810• O <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 /> :,. Call Location Underground Service 48 hrs. bet�re you dig. TOLL FREE NUMBER 1-800-424-5555. <br /> i � <br /> ' 1. Rooflop dr.iinagc shall be disch��ged� � <br /> • 'Ib the site'c storn� drain svstem (privale or pubiic) 4=54PM OOON1451 <br /> • To a�nsideuti:d rooCdo�wispuut syslem dasistnzd per �eclion d-��i 1�t��e <br /> cit}• �t:uid:Uds NOOa313!1 <br /> • i)nto splash blockt �-� �•� <br /> 'Ilie method selectPd will be sul�i�ci to Pnblic Works Inspector apprd000510771132.� <br /> p�g(�, f91.00 <br /> 1£CH �•� <br /> �tCFRG s4.5Q <br /> DRIWV 12D.OD <br /> p� �{ f3b.13 <br /> 11000.50554 <br /> n SEWER 570.00 <br /> /,i� SIBDEV 11613.00 <br /> �;�<-l1• /7 9� ACKtJOWLEcPl�rof�o-d�Ns <br /> The undErsigned owner/applicant hereby agrees to hold and save:�armless <br /> 2 /C the City of Everett from any and all claims for damages,costs,expe��ses,or <br /> <� J causes of action that may arisa because of installation and maintena��r,e of <br /> Approvedfor onsWction a�e lheimprovementorotherright-ot-wayuseheretoappliedforandfurtheragrees <br /> to remove same upon notice Irom the City and to replace public property <br /> � ����' p�_C � — damagedthereby. – <br /> CJ l <br /> FINAL INSPECTION Date / (//� / <br /> Approved a�Constructed LG�� ���� T y 9�� <br /> licant Date <br /> i ure ot pp' <br /> COMPLETION.TIHES P RMIT MA YBE CANC[B ED BYTHE CIlYIUPON ANY S�TOPPAGE OF WORK ON E�HIS PROJEC O ER 30 DAYS DUILRATIONLY PURSUED 10 <br />