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�� <br />TYPE OR PRINT ONLY <br />Application For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />�'0 POSTIN6 <br />Metco Homes LLC 18913 Bothell Evt <br />Owner <br />Owner <br />Applicant <br />�7escribe Propased Work _ <br />PROJECT ADDRESS (if known) <br />Mailing Address <br />Mailing Address <br />new house <br />1301 56th St SW <br />�� <br />�ate 6-14-96 <br />Public Works Permit p ��l� <br />�inq Permit # 52006 <br />—'—"Pu61ic Works Fee $ <br />2a� <br />Bothell 98012 316-0261 <br />07/�5!4h !•z6F� <br />/ <br />ELDG $75� <br />Lot 42 Merri9�Ji,fCreek �@0 <br />SRCHRG $4,50 <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: DRIUW �� $�Q.00 <br />•Property Lines 'Outline and dimensiuns of all existing and proposed structures on the lot •Existing and p�gs�tilitie��k.67 <br />•Centerline of street •Indicate North •Show any proposed grading changes •Show measurements �000040�8 <br />PERMIT CONDITIONS: 11000307�9 <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. SEWER d:70.00 <br />2. All work shall be performed in accordance with this permit and current City of �H�i D��i��� <br />i.onsSruction Standards and Specifications. <br />3. Call Location Undergrountl Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />�. Kea�e �ity atreet� claan at a37 timas. <br />S. Curb gutter and ddewelk in the plat are new and undamaged, anq damage theret <br />ri►all be mplaced at the dircretion of the Public Workc lnspector. <br />6. Any chen�e in the drlveway cut must be npproved by the Public Works Inspector, <br />width at prop line llmlted to e:tisting apron width <br />7. AdJuat wnter boxes to �rade at end of conatruction. <br />8. Ihiveways rha11 be completely cured before driving on them. <br />9 Rooftop drainege �hall be dlecharged to the lots infiltration trench es per the city's <br />"Residential Roof Downspout 9ystem" detait and as per the loeation i�formation on <br />the lot's alte plan. Any change In the inliltration trench must he approved by the <br />Pablic Worka Inapector. Cal! far inapection prior to covering, <br />ACKNOWLEDGEMENT OF COND�TIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett trom any and all claims tor damages, costs, expenses, or <br />causes of action that may arise because of installat!on and maintenance of <br />the improvement or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from lhe City and to replace public preperty <br />d•umaged ihereby. <br />�'�," l..��� ' - � � LID <br />Sig�ature ot p cant —� Date � <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DII.IGENTLY PURSUED TO <br />COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. ., _ <br />