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� �Plication For <br />PUBLIC WORKS PERMIT <br />�UBLIC WORKS DEPARTMENT <br />� � � 3200 Cedar Street <br />ip POSTING �---�tt,W^982o, 259-8810 <br />TYPE OR PRINT ONLY <br />Homes <br />Mailing <br />ithell Evt Hwy <br />City <br />� <br />oate 9-16-96 <br />Public Works Permit # �I(v/34-7 <br />Building Permit # 52889 __ <br />� <br />Pub�ic Works Fee $ � <br />Owner <br />Applicant Mailing Addrass City Zip <br />Jescribe Proposed Work <br />PROJECT ADDRESS (if known) <br />new house <br />1328 SSth <br />Lot 3? <br />Attach tour (4) copies ot plans for proposed work - Draw to scale and note the following if applicable: p�, ,� 591.00 <br />•Property i Jnes •Outline and dimensions of all ezisting and proposed structures on the lot •Existing and p�d utilities�p � <br />'Centerline of street •Ir�:ficate NoAh •Show any proposed grading changes •Show measurements ��j� sfj.,SQ <br />uv i�v i rvn� �� ���v.. �� uv �n.� �1� <br />PERMIT CONDITIONS: y►p'�ER 5105.00 <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-SSi 0. g74. <br />2. All work shall be performed in accordance with this permit and current City of �Uesi�ar� <br />Construction Standards and Specifications. <br />3. Call Location Undergrourd Service 48 hrs, before you dig. TOLL FREE NUM����'.�.5. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />Keep city stteets clean at all times. <br />Curb gutQer end sidawalk in the piat are new and uadamaged, any damege theret <br />shw(t be reptaced at the diocretion of the Public Works Inspector. <br />Any chenge in the drivewny cut must be approved by the Public Works [nspector, <br />width at prop iine limited to existing apron width <br />AdJust watet boxea to grade at end of construction. <br />Drivewnys ahpll be completely cured before deiving on them. <br />Rooftop dreinege sha(1 be discharged to the lots inflltration trench as per the city'e <br />"Redr:entiai Roof Downspout 9ystem" deta3l and as per the location information on <br />the IoYs nite plan. Any change in the Infi(!:ation trench must be approved by tha <br />Public Works Incpector. Call Cor ineper,tion prior to covering. <br />♦�� <br />v/ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hoid and save hcrmless <br />the City of Everett from any and all claims tor damages, costs, expenses, or <br />causes of action that may arise because of installation and meintenance of <br />the improvement or othar right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace public property <br />damaged thereby. <br />J (Q <br />Signature ot nt ate <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DRTE PERMIT IS ISSUEO AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />