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� APPlication For .iu. <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPAqTME'JT�� <br />3200 Cedar Street 3c <br />Everett, WA 98201 259-8�J1a� <br />�.—� <br />�n <br />NPE OR PRINT ONLY <br />METCO LHOMES LLC <br />Owner <br />MARY MCCRARY <br />4� ���T1NG �-13..�� � <br />� <br />18913 BOTHELL EVERETT HWY <br />Mailingqddress ,4,?- <br />Mailin3 <br />Describe Proposed Work <br />OC�G�G O <br />p. L� G �Y p <br />(.'� i CJ �' (� <br />V7 � M � �'i <br />BOTHELL <br />NEW HOUSE — BASIC 1119 <br />PROJECT ADDRESS (if known) 1323 SSTH ST SW <br />Da�e 1/30/96 <br />Public Works Permit # Q 3� <br />Building Permii # SmG <br />W^��yC F poq8 �0� <br />CJ'S'J �Ll <br />[� Q� pd <br />ea �r a� <br />�, �., <br />� 31b�-0261 <br />Phone <br />LOT 27 MERRi7�t. r.ux vu � <br />Attach four (4) ^.opies of plans for proposed work - Draw to scale and note the following i( applicable: <br />•Property Lines �putline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br />•Centerline of street •Indicate North •Show any proposed grading changes •Show measurements <br />PERMIT CONDITIONS: - � '""" ` """"' ' n"' ���vc <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be pertormed in accordance with this permit and current City of Everett Design and <br />Construction Standsrds and Specifications. <br />3. Call Location Undergraund Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />4• �e@p cIty atreete clean at all times. <br />5• Curb gutter and ddewalk in the plet are ne�v and undamaged, eny damage theret� <br />sha�� be repiaced at t:�e diecretion of the Public Works Inapector. <br />6• Any chenge ln the drivewe�� aut muet be approved by the Publlc Works ;nepector, <br />width at prop line limited to existing apron width <br />�• AdJust water baxea to grade at end of constructlon. <br />g• Driveways sbaU be �pm„�etcly cured before driving on them. <br />9• Rooftop drapnege shAll be discharged to the lote infiltmtion trench ae per the <br />"Re�i�leat3al Roof Downspnut gyste�• detail and ae per the sizing nnd location <br />inforrr�ation on the lot's dte plan. Any change in the intiltratinn trench mitet be <br />approved b� the Pubiic Works In�j�ec;or. <br />��� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/�pplicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may anse 6ecause of installation and maintenance o( <br />the improvement or other right-of-way use hereto applied for and further agrees <br />to iemove same upon notice from ihe City and to replace public ��opeAy <br />damaged thereby. <br />Signab,,re of qp ic t C Date <br />WORK AUTHORIZEO 9Y T� iIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED RND THEREAFfER <br />COMPLETION. THIS °eR'.11T MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PqOJECT OVEq 90 DAYS DULRATIONLY PURSUE� TO <br />