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-_� <br /> T� POSTING , <br /> '� ApplicationFor AUG 2 9 1996 ' <br /> ���� PUBLIC, WORKS PERMIT �ata_ 2/13/96 — <br /> PU@f,IC WORKS fJEPARTMENT public Works Pertnit N ��/� <br /> � 3200CedarStreet <br /> Ev�tt,WA 98201 259-8810 <br /> Building Permit A 50867 <br /> � � .�.� o u g �'�' � � rr'� � _ <br /> IYPE OR PRINT ONLY � •u u� c� + n v� o r� r, Public Works Fee$ <br /> u; � r�.� H,i .;� � n � � n � .. <br /> Cuuntrywood '.iomes Inc 1�Yb Bel-Red�d G B211evue 98007 649-8159 i U� �'� <br /> i Owner Mailing ddress c� ,- m c..C�ity� Zip Phone \ � <br /> �i o � � � � � g ,��i �"�o' 3c W \__.�. <br /> � o i � w �. mn ¢ ow = s <br /> C 1 S fi� G.. � f�) G1 � 3 �L Ul Vi GJ <br /> Applicant Mailing ddress City Zip Phone <br /> Describe Proposed Work New house - Basic 1155� � <br /> — � <br /> — 1 V♦ <br /> PROJECT ADDR�SS(if known) 5506 25th Ave W lot� S�/ � ��� Z- <br /> Attach tour(4)copfes of pla�,is for proposed work-Draw to scale and note the following if applicable: � <br /> •Property Lines `Outline and dimensions ot all existing and;xoposed structures on the bt •Existing and proposed utilities � <br /> •Centerline of str�et •Indicate North •Shew any proposed grading changes •Show measurements � <br /> DO NnT WRI'iE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1. All calis for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2.All work shall be pertormed in accordance with this permit and current Ciry of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hr�. before you dig. TOLL FREE NUMBER 1-R00-424-5555. � <br /> S '3/♦ <br /> 4. Keep citV streets clea�i at all tunes. O <br /> 5. Cwb gutter and sidewalk in the plat are new and undamaged, arry dmnage thereto shail be replaced at th � <br /> discretion of the Public Works 7nspector. <br /> 6. My change in the driveway cut tuust be approved by U�e PW inspectur, width at prop line linuted to <br /> existin�apron width. <br /> 'J. Adjust��ter boxes to graAe at end oF conslrucfion. <br /> R. lltiveways �.`all be completely cured before clriving on thzm. <br /> 9. Rooftop drainage shall be discharged: <br /> • to Uie site's storn� drain system(private or pub6c) <br /> � to a resiAenfial roof downspout.rystem desig�icd per section 4-9.4 of the city sG�nd�rds <br /> • outo splash blocks <br /> The method selected will be subject to Public Works Departernent approval. <br /> �r� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ' / The underslgned owner/applicant horeby agrees to hold and save harmless <br /> C/�Q,� //z�/�� the City ot Everett from any and all claims for damages,costs,expenses,or <br /> ' �'� causes oi adion that may arise because oi installatlon and malMenanca of <br /> ApprovedforCo truc n atBT theimprovementorotherrighbof-wayuseheretoapplledforandfurlheragrees <br /> to remove same upon notice trom the Clty and to replace public property <br /> ��_. f"�)f� dama dthereb <br /> FINAL INSPECTION Date <br /> Approved as Constructed a�_'V� I./ _ <br /> (Xl-`1!_(C <br /> Sig ture of App an Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AN HEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />