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` <br /> Date 3 6 86 �� . �� <br /> PUEI¢h�rM iermit. <br /> Application For i.��a �..,�.. 9E/_6168 <br /> PUBLIC VI/ORKS PERMIT Puel¢Worblae <br /> TotelFee � <br /> , �ess nom Fe..N.�a 7' 2� <br /> Print or Type Only Be�.^�ao- _ �. <br /> Boyden Realty, Inc. 1429 Broadway EVerett 9820Z 152-1166 <br /> Owner MailingAddress City Zip Phone <br /> J & D Builders 1429 Everett 98201 252-1166 <br /> Applicant Mailing Address City Zip Phone <br /> Des:ribe Proposed�Vork NeW Single Family ReSidenCe <br /> - � �� � � - W <br /> Project Address(if known) 9212 - lst Di�Ve SE � <br /> Attach low�4)copies ot plans for proposetl work-Draw to scale and note Ihe lollow�ing as applicab�e: � <br /> • Property Lines • Centerline of sireei � <br /> • Outline and d;mensions ol all exisling and • Indicate North <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LIIJE <br /> PERMIT CONOITIONS O <br /> 1. All calls lor inspection shall be made 24 hrs. in�dvance- phone 259•881 5. � <br /> 2. All work shall be perlormed in accordance with this per.nit and current City ol Everett Design and Construction <br /> Standards anA Specifications. <br /> 3. Call Location Underground Service 48 hrs before you oiq.TOLL FHEE NUMBER 1-800•424-5555. � <br /> 4. ANY GRADING DONE ON THIS IA'P SHALL BE DONE SO AS NOT TO IMPACT THE <br /> SURROUNDING LOTS WITH RAINWATER kONOFF, O <br /> 5, DOUNSPOUTS FROM THE BUILDING ARE Tn gE TIGHT-LINED TO THE PUBLIC DRAINAGE <br /> SYSTEM. <br /> 6. ANY CURB & GUTTER DAMAGE� DURING CONSTR[i.^.TION SHALL BE REPLACED By THE ~ <br /> APPLICANT. <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF C��WGI I IONS <br /> The undersigned owner/applicanl hereby agrees to hold antl save harm� <br /> less �he Cily ol Everetl !rom any and all claims lor damages, costs, <br /> �/'��� expenses, or causes ol action that may arise because of installation <br /> / —� -� / and maintenance ol Ihe improvement or other righDol-way use hereto <br /> �_��� ��V `�` appliad lor and luriher agrees lo remove same upon notice Irom �he <br /> A, oved I r Co rucC Date City and to replace public property damaged thereby. <br /> - �7�' `-� /c'/.c.��— � i�(-� G�.��S�G <br /> FINAL INSPECTION Uale i- <br /> Approved as Consiructed Signature of Applicant D e <br /> everelt PUBLIC WORKS DEPARTMC-NT WORK AUTHORI2E0 BY TIiIS PERMIT MUST BE STARTED WIl'HIN <br /> � 3200 Cedar Street 180 DAYS OF DATE PEFMIT IS ISSUED AND THEREAFTER IS Tn <br /> Everett,WA 98201 BE DILIGENTLY PURSUED TO COAIPLETION. THIS PERMIT MAY 7E <br /> Phone:259�8B15 CANCELLED BY THE CI7Y UPON ANY STOPPAGE OF WORK ON T�II; <br /> PROJECT OVER AO DAYS DURATION. <br />