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} <br /> Date 3�6�86 Pubuc Worxs Permil• � /�� <br /> Application For aiaa.oeai.. 86/16161 <br /> PUBLiC WORK� PERMIT PUOTotnlFeeFee s <br /> Less R00�Fee Peid S <br /> o.�a��e o�� s 20=o <br /> Print or Type Only <br /> Boyden Realt•v, inc. 1429 Broid•+av averett 98201 252-1166 <br /> Owner Mailing Address Ciry Zip Phone <br /> J 6 D Builders 1429 Sroadway Everett 98201 252-1166 _ <br /> Applicant Mailing Address Ci�y "Lip Phonc <br /> Describe P�oposetl Work NeW Sip9�e Fa_mily Ras+drnce <br /> -- f C°q W <br /> ProjectAaaress(ifknown) 9217 — lst Dt. , S.E., Everett � <br /> Attach tour(4)copies of plans tor proposed work� Draw to scale and note the followinp as applicable: �� <br /> • Property Lines • Centerline ol street � <br /> • Outline and dimensions of all existing and • Indicate Norlh <br /> proposed structures on Ihe tot • Show any proposed grading chan�cs <br /> 4 Exislin9 and proposed utilities • Sliow measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1, All calls lor inspection shall be made 24 hrs. in advance-phone 259-881 5. � <br /> 2. All work shall be pertormatl in accordance with this permit and current Cily ol cveretl Design and Conslruction <br /> Standards and Soecificetions. <br /> 3. Call Location Underground Service 48 hrs.belore you dig.TOLL FREE NUMBER 1-500•424•5555. � <br /> 4. ANY GRADING DONE ON THIS LOT SHALL BE DONE SO AS NOT TO IMPACT THE <br /> SURROUNDING LOTS WITH RAINWATER RONOFF. O <br /> 5. DOWNSPOUTS FROM THE BUILDING ARE TO BE TIGHT-LINED TO THE PUBLIC <br /> DRAINAGE. � <br /> SYSTEM. <br /> 6, ANY CURB & GUTTER DAMAGED DURING CONSTRUCTIOId SHALL BE REPLACED BY THE � <br /> APPLICANT. <br /> . � <br /> a <br /> ACKNOWLEDGEM[NT OI"CONDITI'JNS <br /> The undersigned ow.:adapplicant hereUy agrees to hold and save harm� <br /> less the City ol Everetl irom any and all claims lor damages, cosls, <br /> � erpenses, or causes ol action Ihat may arise because ol installalion <br /> �� � v�G and maintenance of the impwvemeM or other righbobway use hereto <br /> � applied lor anA lurther agrees lo remove same upon nolice Irum ihe <br /> Appf6ved f r o ruclio . Date City and to replace publir property damaged thereby. <br /> . �� � �//� �//f� � r �/ <br /> FINAL INSPECTION e _e��' �'� �0/� G/� yv <br /> Approved as Construc�ed Signature ol Applicant ate <br /> everelt PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 180 D/1VS OF DATE PERMIT IS ISSUE� AND THEREAFTER IS TO <br /> � 3200 Cedar Streel BE DILIGENTLY PUFSUED TO COMPLETION. THIS PERMIT MP.Y BE <br /> Everelt,WA 9820� CANCELLED BY THE(;I7Y UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259•8875 PRO.IECT OVER 90 DAYS DURATION. <br />