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! <br /> � Date 3 6 86 . . .�- ��o//O <br /> Puolrc worAa Permil� _ <br /> A„Q oe,, . 86 16155 <br /> Application F�r — <br /> PUBLIC WORKS PERMIT �°°°��°W°«BFeB <br /> ,a�a�Fe� s <br /> Less Aoo� Fce Pa�E S �� <br /> Print or Type ��r�ly eT�.,�,�Po�� s � <br /> Hovden Realtv. Inc. 1429 Bre,;dway �eratt 98201 252-1166 <br /> Owner Mailing Address City Zip Phune <br /> J & D Builders 1429 eroadway Everett 98 O1 5 - �66 <br /> Applicant Mailinq Atltlress City Zip Phone <br /> Describe Proposed Work New Single Family �sidence <br /> _ � <br /> Project Address(il known) 9232 - lst Dr., S.E. . �erett � <br /> Attach lour(4)copies oi plans lor proposed work- Draw to scale and note the lollcwing as applicable: � <br /> • Property Lines • Centerline of alree� � <br /> • Outline and dimensions ol all ezisting and • Indicate Norlh <br /> proposed structures on ihe lot • Show any proposed grading changes <br /> • Existing and pronosed utilities • Show measureme�ts � <br /> DO NOT WRITE Bi_LOW 7HIS LINE <br /> PERMIT CONDITIONS O <br /> 1. All call:;for inspection shall be made 24 hrs. in advance phon�259•881 5. � <br /> 2. All wori shall be perlormed in accord�nce with ihis permit antl cuuent City of Everett Oesign and Conslruction <br /> Standnrds and Specilica�ions. <br /> 3. Call Locetion 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 IPIPACT THE O <br /> SURROUNDING IATS WITH RAINWATER RUNOFF. <br /> 5. DOWNSPOUTS FROM THE BUZLDING ARE TO BE TIGHT—LINED TO THE PUBLIC <br /> DRAINAGE SYSTEM. � <br /> 6. ANY CURB :: GUTTER DAMAGED DURING CONSTRUCTION SHALL BE REPLACED BY THE <br /> APPLICANT. .w <br /> VJ <br /> O <br /> a <br /> ACKNOWLEUGEMENT UF CONDITIONS <br /> The undersigned owner/applicant her��by agrees to hold and save harm� <br /> Iess the City ol Everett irom any :�nd all claims tor damages, costs, <br /> � � expenses, or causes of action that mav arise because ol mstallation <br /> -� J and maintenanr,e of the improvement or other righ4of•way use hereto <br /> applied tor and lurther agrees to remove same upon notice Irom the <br /> ovetl f C ruc � n Date City and to replace ��ublic property damaged thereby. <br /> i <br /> � /�� � <br /> ! r�J G � /��� <br /> F�NAL INSPECTION Dale � �� � -���- ��� <br /> Approved as Conslructed Signature ol Applicant Date <br /> everett PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � 3200 Cedar Sireel 180 DAYS OF DATE PERMIT IS ISSUED AND THER[AFTER IS TO <br /> Everett,WA 98201 8E DILIGENTLY PURSUED TO CON�PLETION. THIS PERMIT MAY BE <br /> Phone: 259�8815 CANCELLED BY'HE CITV UPON ANY STOPi'AGE OF WORK ON THIS <br /> IPROJECT OVER 90 DAVS DURATION. <br />