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C�� <br />TYPE OR PRIMT ONLY <br />John Urban <br />Owner <br />Owner <br />Applicant <br />Describe Proposed Work <br />��� ApplicalioT'Etir �OJ�I�� AUG 09 1996 `— <br />PUBLIC WORKS PERMIT uate_ 2-21-96 <br />�: � C((p�G 57 <br />PUBLIC WORKS DEPARTMENT Public Works Permit p <br />iz 3200 Cedar Sireet <br />Eir�rett, WA 98201 259-8810 50932 <br />,,; Bullding Permit q _ <br />c n r�� r_, ,r.�, c.� <br />�. ''� C� r'�� L'� Ci Ci. <br />R <br />1'.� �d v) o ..y. G .:�. <br />.:�. ry �'] r� :.t �, �. <br />U•. •-. M <br />PO Box 6661�';'L`�nnwood WA <br />PROJECT ADDRES^u (if known) <br />s c� :_. 7r <br />[c �? r_r <br />L9 S'J 7L <br />!.'. 4:. L.� GJ ��: 3 <br />I .1 L.: � ji � <br />G'.� ? s' ci� r, �' <br />Address <br />LJ i' ^ G <br />. r. � r� pj �D... <br />��; —, �; ;:; Public Works Fee $ <br />�=' P� G .�' <br />VP .11 '. <br />�F N. (,• <br />)3�'' 77:=5729 <br />2411 SSth Sc SW Lot 71 Powder Mi17 <br />Attach four (4) ccNies of plans for propo�ed work - Draw to scale ann note the followin i if applicable: <br />•Property Lines 'Outline and dimensions of all existing and p�oposed structures on thr. lot •6cisting and proposed utilitias <br />'Centerline of street •Indicate North •Show any propc�sed grading changes •Show measurements <br />..--------" ...._�.�.� <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-$810. <br />2. All work shall be pertormed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Loca[ion Ui�derground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />��. Keep city streets ; le;u� at all times. <br />5. Curb gutter and sidewalk in the plat ar� new and widarnaged, arry• damage thereto shall be replaced at <br />di;cre6on ofthe Public Works Inspeclor. <br />�• Any charige in Uie dtiveway cut must bc approved by lhe PW inspector, width at prop line liirilted tn <br />ea�sting apron width. <br />7. Adjust water boxes to grade at end of construction. <br />s• Driveways shal! be cumpletely cured before ctriving ou [hem. <br />y. Rooftop drainage shall be discharged: <br />• to the site's storm drain systcrn (private or pubGc) <br />• !� a rosidendal roof dowv ..,t system desibmed per section 4-9.4 of the city standards <br />' onto splash blocks <br />The met6od selected W�ill be subject (o PubGc Worlcs Departemznt approv:�. <br />J', <br />� � <br />W <br />H <br />- <br />� <br />� <br />v/ <br />� <br />a <br />ACKNOWLEJGEMENT OF CONDITIONS <br />The underslgned owner/applicant hereby agrees to hold and save hartnless <br />the City ot Everett from any and all claims for damages, cnsts, ezpenses, or <br />causes of actlon that may arise because of installation �-,C �naintenance of <br />the improvement or other right-of-way use hereto applied tor an,1 further agrees <br />to remove same upon notice from the City and to re�-'ace (,�bllc property <br />damaged thereby. <br />��,.*-. -%/l��- <br />SignaWre of }Cpplicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THER'eAFTER IS Tu 9F DILIGENTLY PUpSUED TO <br />COMPLEfION. THIS PERMIT MAY BF CANCELLED BY THE CI"iY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />