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� <br />TYPE OR PRINT OtiLY <br />ApplMatbn For <br />P�IBLIC INORKS PERMIT <br />Gescribe Proposed Work _ <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8 <br />� i e !�ae <br />TO POSTING <br />- BASIC 1199 <br />City <br />��a—�a _ <br />Public Works Permit M / <br />Building Permit F 56604 _ <br />Public Works Fee 5 �� __ <br />Phone <br />Phone <br />u sbboa <br />PROJECT ADDRESS (if known) 1329 56TH ST SW LOT 49 . II D t 000 00 <br />Attach four (4) copies of plans for proposed work - Draw to scale and note tha following if applicable: FLUM6 91. 00 <br />•Pro e lJnes �'Outline and dimensions of all existin and ro sed structures on the lot •Existin a� �Hroposed uti ��' �� <br />P �r � � <br />J <br />'Centerline o't stmet •Indicate North •Show any proposed grading changes •Show measu m�fV� �0.0� <br />PERMIT CONDITIONS: WATER 105.00 <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-88'1�. 31�80 <br />2. All work shall be performed in accordance with this permit and cument City���erett D��i�and <br />Constr�ction Standards and Specifications. UTILITY 482.00 <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NI��R 1-�-4�-5555. <br />CHEF: <br />A OM2329 <br />1, fieep city streets clean at all timaR. <br />5. Curb gutter nnd eide�vntk tn the plat are new end undama�nd, eny demege thereto <br />ri►al[ be replaced at the diccretion oC the Pubiic Works Inapector. <br />6. Any change in the drlve�vay cut muet be approved by the Public Works Inspector, <br />width at prop line liinited to existing apron width <br />7. Adjuet wntcr boxes to grade at end oC constructlon. <br />8. Urive�vays shall be campletely cured before driving on them. <br />9. Rooftop drninega ahetl be dlscharged to the lota intlltration treacli ae per the city's <br />"Residentiai Roof Downe,—�+uk System" detail and as per the location information on <br />tl�e lot'a site plan. Any change in the tntiltretion treach must be appeoved by the <br />Pub1Ic Worke Inspectnr. �all for inRpection prior to cavering. <br />C <br />� <br />9 <br />� <br />O <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersignad ownedapplicant hereby agrees to hold and save hartnless <br />the City of Everett from any and all ciafms foi damages, costs, expenses, or <br />causes of action that may arise because of Installation and maintenance uf <br />the improvement aother right-of-way use hereto applied for and further agrees <br />to remove seme upon notice from the City and to replace public property <br />damaged thereby. <br />Innr�urvor[i.nVrv UB�B I � <br />Approved as Consiructed <br />S a ure of lic 1 Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARfED WITHIN 180 DAYS OF DATE PERMR IS ISSUED AND hIEREAFfER IS BE DILIGENTLY PUflSUED TO <br />COMPLEfION. THIS PERMIT MAY BE CANCELIED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 DAYS DURATION. <br />