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Date �-a-95 t0 POSTING <br />Applirytion Fof <br />PUBLIC WORKS PERMIT <br />Print orType Only <br />APR '� 3 1�96 <br />/ <br />PuOLc Works Parmlt a � ��� <br />eme.oea�.• (+]IiR9 <br />Pubhc WorkS Fee $ <br />Toial Fee <br />Less Ap01. Fee Paitl S <br />Balante Due s � � <br />Phone <br />Owner . <br />Applicant tdailing Address City Zip Phone '_ <br />��, <br />Describe Proposed Work new house <br />Project Address (it keown) 2426 56th St SW Lot 86 Yowtlet M111 n <br />Att .,;h four (4) copies of plans for proposed work - Draw to scale and note the tollovaing as applicable: <br />• Property Lines • Centerline ot street <br />• Uutline and dimensions of all existing and • Indicate Norih <br />proposed structures on the lot • Show any proposed grading changes <br />� Existing and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1. All calls tor ins �ection shall be �nade 24 hrs. in advance • p�one 259-8810. <br />2. All work shall be performed in accordance with this permit and current Ciry of Everett Design and Construction <br />:,tandards end Specifications. <br />3. Call Location Underground Service 48 hrs. befoie you di�,�. TOLL FREE NUMBER 1-800•424•5555. <br />4. Keep city streets clean at atl times. <br />5. Curb guiter �uid sidawalk in ihe plat are new ;u�J und:mmg�d, �ury damage thzreto sh.�ll be replaced at the <br />discrerion of tlic Public Works Inspector. <br />ti. �Vn+ chauge ui the driveway cut must be ��pp�oveJ by the PW luspector, widlti at prop Gnc Wnited to <br />ca�sting apron width. <br />�. Adjust water boxes to �ade at end nf conshiicUon. <br />8. Drivcways shall be completely curod beforo dnving on them. <br />9. RooBoEi drain�ge shall be discharged: <br />• to the site's stonn drain system (pm�ate or pubGc) <br />• Io a residen6al roof downspout sysreut desi�red per section 4-9.4 of Ute cily slandard± <br />• onto splash blocks <br />'I'he mr.thod szlected will be subject ro Fubtic Works.�epartCment cipprov;�. <br />W <br />H <br />� <br />� <br />:1 <br />� <br />io• Rv_Move �hd rep �d�C �UCi 5E1 C�f'iVCi+�Ry d�� W�t ACKNOWLEDGEMENT OF CONDITIONS <br />.�a,ll hcS vr� cury9vkter' � s,�'�w✓A�kpu�3io7 <br />9 he untlersigned owner/applicant hereby agrees to hold and save harm- <br />d II claims for damages costs, <br />" I <br />Approved as �unstructed <br />F'UBLIC WORKS t"-r"�^RTMENT <br />3200 Cedar Slreet <br />Everelt, WA 982C'� <br />Phone: 259-881C1 <br />less the Ciry of Everett from any an a � <br />expenses. or causes of aclion that may arise because of installation <br />3�/ f 7�j'/J and maint?nance ot the improvement or othcr right•of•way use hereto <br />��� applied tor and further agrees lo remove same upon notice from the <br />Date nd to replace public properJy damaged thereby. � <br />, <br />� �� .l <br />o:.i� <br />.� /�a-/9� <br />SignhtGre ot Applicant • "�„ <br />WORK AUTHORIZED BY THIS PERMIT D/UST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJLCT OVER 90 DAYS DURATION. <br />