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TYPE OR F'RINT ONLY <br />qpplicctian For <br />PUBLIC WOR�CS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 9d201 259-8810 � <br />TO POSTING '�- �-- � -- <br />P�ul �ustard <br />owner <br />Owner <br />�--- <br />Applicant <br />Describe Proposed Work I <br />1373 S John St <br />ling Addre: s <br />�— <br />ling Atldress <br />. ��..ee <br />PRUJECT ADDRESS (if known) bZ� 54 <br />Ariach tour (4) copies of plans for proposed work - Draw [o sca�e and note the tollowing it applicable: <br />•Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />'Cenlerline oi street •Indicate North 'Show any proposed grading changes •Show measurements — <br />Date _ 8-5-96 <br />�j(Q 2Sq <br />Public Works Permit # <br />Building Permit 11 _ 52484 <br />Public Works Fee S Z�� <br />Camano Ia WA 98292 367-3120 <br />cr CtJ <br />Lot 4 SP 1k36-95 <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this pertnit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOtL FREE t�UMBER 1-800-424-5555. <br />4, Ito�ftop drainage ottall be diecharged to the lots infiltration trench as per the city's <br />"Reaidential Roof Downspout 8yatem" detail and as per the lacation information on <br />the lot's dte p1An. Any change in the infiltration trench muat be approved by the <br />Public Warks Inapectar. Call for inrpection prior to covering. <br />� <br />N <br />O <br />a <br />ACKNOWLEDGEMEMT OF CONDITIONS <br />The undersianed owner/applicant hereby agrees to hold and save harmless <br />the City �.�f Everetl from any and all cluims tor damages, costs, ezpenses, or <br />causes uf action ihat may arise because of installaliedforandfurtheragrees <br />the ir��provemen! or other righbof-way use herato app � <br />to remove same upon notice trom Ihe City and to replace public property <br />damaged thereby. <br />Date <br />9fgnature of Applica <br />COMPLEfION.TI� S PERMIT MAY BE CANCEBLEDTBY i HE CINIUPON ANY S�TOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DULWITI�NLY PURSUED TO <br />