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Date 3 6 86 ��-//G_ <br /> Puelic works Peimlt• _ <br /> Applicatlon For eieo oeoi.• 86/16I60 <br /> PUBLIC WORKS PERMIT PueimWorwaFee — <br /> Totel Feo s_ <br /> Lese RppL Fae PeiC $ <br /> PfIM Of Typ@ OMy eaiaoceo�e S_2� <br /> ��do., ne�ir�y ia�o a,-�a,��„av Fverar* 98201 252-1166 <br /> Owner MaiNng Ad�tress City 2ip Phone <br /> J & D Hu;ldwrp . Sd7Q n d � xt rr OR9n1 952-7766 <br /> Applicanl Mailing Address Ciry 2ip Phone <br /> Describe Propnsed Work Si71410 FB]ni1Y Residence — New <br /> W <br /> Project Address(il known) — ' � <br /> Ftlach lour(4)copies ot plans for proposetl work• Draw lo scale and note the lollowing as applicable: � <br /> • Property Lines • Centerline ol street � <br /> • Outline and dimensions�I all existinq and • Indicate North <br /> proposed siructures on ihe lot • Show any proposed grading chan�es <br /> • Existing and proposed utilities • Show measuremenis � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1. All calls lor inspection shall te made 24 hrs. in ativance� phone 259•881 5. � <br /> 2. All work shall be pedormed in accordance wilh this permit and current City ol Everett Design and Construction <br /> StanAards and Specilications. <br /> 3. Call Location Underground Service 46 hrs.before you dig.70LL FREE NUMBER 1•800•424•5555. � <br /> 4. ANY GRADING DONE ON THIS LOT SHALL BE DONE SO AS NOT TO IMPACT THE <br /> SURROUNDING IATS WITH RAINWATER RUNOFF, O <br /> 5. DOWNSPOUTS E'ROM THE BUILDING ARE TO BE TIGHT-LINED TO THE PUBLIC <br /> DRAINAGE SYSTEM. <br /> 6. ANY CURB 6 GUTTER DAMAGED DURING CONSTROCTION SHALL BE REPLACED }3Y THE � <br /> APPLICANT. <br /> Y• <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDiTIONS <br /> The undersigned owner/app:icant hereby agrees to hold and save harm� <br /> less the City ol Everett Irom any antl all claims lor damages, costs. <br /> ���i�_=�sC/ % exPenses. or causes ol action that m�y ari�e 6ecause ol installation <br /> — � `�,/v and maiNenance ol the improvement or othr.r right�ohway use hereto <br /> applicd lor and lurther agrees �o remove same upon notice Irom the <br /> ovedlor Co iru t' n Date <br /> F / f Ciry and to replace public property damaged Ihereby. <br /> � 2� ��7 . ' <br /> C' �� �,�. <br /> FINAL INSPECTION Date ����.'�-���.'� C� /�--t —��`���� <br /> npproved as Constructed Signature ol Applicanl :bate <br /> PUBIIC WORKS DEPARTMEtJT WORK AUIHORIZED 8Y THIS PERMIT MUST BE STARTED WITHIN <br /> everelt 1B0 DAYS OF DATE PERM11IT IS ISSUED AND THEREAFTER IS TO <br /> � 3200 Cedar Street BE DILIGENTLY PURSUED iJ COMPLETION. THIS PERMIT MAY BE <br /> Everett,WA 98201 CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone: 259�8815 <br /> PROJECT OVER 90 DAYS DURATION. <br />