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Date—e��95 <br />PUBLIC <br />Print or Type Only <br />Metco Homes LLC <br />Applicant <br />.'��`•. <br />x TQ PUSTING Z-z3-�G <br />Application Fa�n <br />WORK� <br />0p <br />O <br />a <br />M <br />18913 Bothell <br />PERMIT <br />� O S N O W O C� <br />�n,� ���oo� � o <br />.pMM N�� p M <br />ki�Qt"�Hwy Bothe} �0 <br />Pdr,ilma Address <br />��U{y�L=l "�'�,S�7 <br />6�ldJ.S�O R. <br />P,���,� �y5��8'm,� > "_.! J_/=��� / <br />Bhtn Dept. s <br />PeLLc WorkS FeC 5 <br />Toial Fee <br />Less>opt Fee Pauf 5 � <br />g� Balance Ouc 5 _ <br />,o ,ri <br />1� � 481-0665 <br />� � � 7�n <br />3 = <br />[�+�i �n r� <br />Citv ZiP <br />Describe Proposed Work __ New house — Basic 1106 ______ <br />Project Address lif known! <br />� <br />Attach four (4) copies of Flans �oi proP�>ed work - Drav: to .cab' a:;n note Ihe'o�iuwmy as anu�icahle: <br />• Property Lines <br />� Outline and dimensions ol all existlny and <br />proposed siructures on the lot <br />• Existing and proposed utilities <br />• Centerline N street <br />• Indicalc North <br />• Show s�ny rronosed grading chanyes <br />• Show measurements <br />Cl1�l <br />N <br />-�. <br />Phnnc <br />Phon� � <br />* <br />PERAIIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259-8810. <br />2. All work shall be performed�in accordance with this permit and current Ciry of Everett Design and Construclion <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. hefore you dig. TO!_L FREE NUMBER 1•800•424-5555. <br />4. i{eep eity etreets ctean At all times. <br />5. Curb gutter and ddewetk in the plat are new and undamuged, any dama�ge khereto <br />Yhell be replaued rt the diocretion of the PuUlic Wo:ks inrpector. <br />6, Any change in the driveway cut must he epproved by `he Public Works Inapector, <br />width at prop line limited to erristing apron width <br />7. Adjuat water boxes to grade at end of conatruction. <br />8. Drivewaye rhall be completely cured before driving �n theas. <br />9. Roofkop dralnage ahall be diechnrged to the lots in!iltration trench as per the <br />"Residential Rooi' Downspout 9ystem" detail and as per the aiaing and loce�tion <br />lnformation on the loYs site plan. Any change in the Infiltration trench must be <br />approved by the Public Works Uispector. <br />Approved for o� tion — <br />� <br />FINAL INSPECTION <br />Approved as Constructed <br />�A��V PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 98201 <br />Phene: 259•8810 <br />ACKNOWLEDGEMENT Of CONDITIONS <br />W <br />H- <br />�M� <br />_/ <br />� <br />O <br />� <br />� <br />O <br />a <br />�ihe unde��ianed owner/�pplicant hereby agrees to hold and save harm� <br />��-- ---� less 'he City o� Everetl Irom any and atl claims fcr damages, cests. <br />/���--� expenses. or causes of action Ihat may arise because of ins'allation <br />I and maintcnance o! lne improvement or other right�obway use here;o <br />�,,��i�ed ror anA turther agrees to remove same upon notice irom the <br />Da1e i �,�y ii��� �� replace pubhc property damayed thereby. <br />07 _.J �-%�.. <br />UdIC <br />� ( - _ <br />Signature oi AppGcan! Date <br />WORK AUTHORIZED BY THIS P�MIT UST BE STARTED WITHIN <br />�f?0 DP\'S OF DATE PERIdIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY P'JRSIIED TO COMPLETION. THiS PERMIT MAY BE <br />CANCELLED Bl' THE G'lY UPON ANY f'iTOPPAGE OF WORK ON THIS <br />PRO.:FCT OVER 90 �'AYS DURATION. <br />