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TYPE OR PRINT ONLY <br />Application For � t (�� " I,3 � C( "' <br />PUBLIC WDRKg�P����= <br />PUBLIC WORKS GEPARTMENT <br />3200 Ceda• Street <br />Everett, WA 98201 259-8810 <br />Public Works Permit R <br />Building Permit # <br />2-21-96 <br />�� <br />50928 <br />Public Works Fee $ LCJ^ <br />/� . <br />Describe Proposed Work <br />new house <br />PROJECTADDRESS(ifknown) 1329 SSth St <br />Lot 29 <br />��>5� <br />Ph -- -- <br />Attach four /3) copies of plans for proposed work - Draw to scale and nute the following if applicable: MECH 4nL�.OD <br />•Property Lines �Outlinia and dimensions oi all existing and proposed siructures on the lot •Existing and pro�'esei�Ltilities �4 � Sr <br />•Centerline ot street •Indicate NoAh •Show any proposed grading changes •Show rneasurements �"�VW �� �= 0. 70 <br />UU NU� WAITE BELOW THIS LINr �qT'FF. 5205�rv:1 <br />PERMIT CONDITIONS: 4000?OS' 1 <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. �r��k n70.0� <br />2. All work shail be pertormed in accordance with this permit and current City of E�,.�ryDe�gpz�r� <br />Construction Standards and Specifications. GyEC'�: 8i442.OD <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />4. Keep city streets clean at all times. <br />5. Curb gutter nnd ddewa(k in t6e plat are new and undamaged, any demage theret� <br />�hall be replaced at the diocretiou of the Public Works Inapector. <br />6. My change in the drivewey cut !nust be epproved by the Public Works Inspector, <br />width at prop line limited to exiating aproa width <br />7. AdJast water boaea to gtade at end of constructlon. <br />6. Driveways shell ba completely cured before driving on them. <br />9. Rouftop drainage shall be dlscharged to the lots Infiltration trench as per the <br />"RRsidential Roof Downspout �9y�tam" detail and as per the sizing end location <br />infurmation oa the loYs .ite plan. Any change in the ±nflitratlon treackx muut be <br />e,Qproved by the Public W'orks inapector. Calt for inspection prior to covering. <br />!:� <br />1� <br />� <br />O <br />♦�A <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owneNapplicant 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 tha! may arise because ot installation and maintenance of <br />the improvemen: or clher right-of-way use hereto applied tor and tuhher agrees <br />to rr.move same upor notice from the City and to r.place public property <br />damaged thereby. <br />� ` '1 i � �;� ��. �.�L�t,� ` ' r � ,� �,� - �� �'i l� <br />Signature n�.,,_:��t Date <br />WORY. AU'i HORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS IS�UED AND THEREAFfER IS O BE DILIGENTLY PURSUED TO <br />COM�LE710N. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />