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4 T� <br /> ( ' • . -.. __._ ' <br /> . JAte� • Pu01¢Woiks Permit• �w^�/� <br /> Application For emc.oeo�.• 86/16152 <br /> PUBLIC WORKS PERMIT PubTo�FeeFea s <br /> Lau Rppl Fae Psip S <br /> Print or Type Only a.i.��,o�e S� <br /> Boyden Realty, inc. 1429 Broadwav Everett 98201 252-1166 <br /> Owner Mailinn Address City Zip Phone <br /> J & D Builders 1429 Broadway Everett �8201 252-1166 <br /> Applicant Mailing Address Cily Zip Phone <br /> Describe Proposed Work New Single Family Residence <br /> L-� ? �i <br /> Prolecf Address(it known) _ – ' � <br /> Attach tour(4)copies of plans for proposed work-Draw to scale and note the followiny as applicable: � <br /> • Property Lines • Centerline��I street � <br /> • Oulline and dimensions of all existing antl • Indica�e North <br /> proposed structures on the lot • Show any proposeA gradf��changes <br /> • Ezisting and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hra in advance-phone 259•8815, � <br /> 2. All work shall he performed in accordance with this permit and current City ol Everett Design and Consiruction <br /> Slandercls and Specifications. <br /> 3. Call location Underground Service 48 hrs. before you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> 4. ANY GRADING DONE ON THIS LOT SHALL BE DONE SO AS NOT TO IMPACT THE O <br /> SURROUNDING LOTS WITH RAZNWATER RUNOFF, <br /> 5. DOWNSPOUTS FROM THF. BUILDING ARE TO B� TIGHT—LINED TO THE PUBLIC � <br /> DRAINAGE SYSTEM. <br /> 6. ANY CURB & GUTTER DAMAGED DURING CONSTRUCTION SHALL BE REPLACED BY THE � <br /> APPLICANT, <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to holtl and save harm- <br /> less the City of Everett irorn any and all claims lor damages, cosls, <br /> ��� J�j/�� expenses, or causes ol action ihat may arise because oi installalion <br /> and mainlenance ol ihe improvement or other right-oi�way use her=to <br /> applied tor and lurther agrees to remove same upon notice irore the <br /> Ap�6ved lor C sirucN n Date City and to replace puUlic property damaged Ihereby. <br /> ' - l), � I " <br /> FINALINSPECTION p� �%�^�-""-� �- �� ��L�`/�� <br /> Approved as Constructe Signature ol Applicant �— <br /> everett PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � 3200 Cedar Streel 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett.'NA 98201 BE DILIGENTLY PURSUEO TO COMPLETION.THIS PERMIT MAY BE <br /> Phone: 259-8815 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THi3 <br /> �ROJECT OVER 90 DAYS DURATION <br />