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� APPI�'a����OSTING AUG 2 91996 -� - - — - ._ . .� -� <br /> � PUBLIC WORKS PERMIT oa,e_ 2i13�96 <br /> PUBLIC WORK$�DEPARTN'ENT Pu61ic Works Pertnit p �U/ OS <br /> �200 Ceder Sireet <br /> Everett,Wq g820] 259-BB10 <br /> �� BuildingPermit4 �rAgbg <br /> nnOC; o (� qCjc� <br /> TYPE OR PRINT ONLI' '` ''� �' �' �� c� r_i r� o r <br /> r,. . <br /> ai iri ci .:•, c� vi ci rP�uL. 'JorksFee$ <br /> fi i» o cJ r, ,:.�� ^, r� r p, - <br /> r,' �.._ „�: �n e^� . . ,� ,q G1 <br /> Countrywood Homes 14410 Bel-�t� Rd Be}�lev� 980b7 649-8159 <br /> Owne� Mailing Address o: �.c� P <br /> ¢'tityaa � � Zi Phone <br /> �y r.; _a o c: N: ... i..i �: � <br /> o;: nc� � i. �c _ o �io ��7c� c� <br /> r:� c� .r. �, c� ca ��� o r-� n =x u� w � ) <br /> � n ._.� _.i u.i r: rr � a o w -- r_ � <br /> ri x:: fLrr_ I- [li f_l �: 3st rAfl: r.l <br /> Applicant Mailing Address City Zip Phone — <br /> Describe Proposed Work New house - Basic 1157 <br /> � <br /> � - 2 f1� Avenue 4V. ~ <br /> PROJECTADDRES°(if known) _ ���'�'/� Lo� ( - '��v Z � <br /> Attach tour(4)copies of plans for proposed work-Draw to scale and note the following if applicable: � <br /> •Property Lines •Outl���e end dimensions of all existing and proposed structures on ihe lot •Enisting and proposed utilities O <br /> •Centerline of street •Indicate North •Show any proposed grading changes •Show measurements <br /> DO NOT WRITE BELOW THIS LS�JE � <br /> PERMIT CONDITIONS: � <br /> 1. All calls for inspection shall be made 24 hours in advance- phone 259-8810. <br /> 2.All work shall be pertormed in accordance with this permit and current City of Everett Design and O <br /> ,� ; Construction Standards and Specifications. <br /> : 3. Call Location Underground Service 48 hrs. before you dic. TOLL FREE NUMBER 1-800-424-5555. � <br /> � v/ <br /> 4. Keep city streets clean at all times, O <br /> 5. CurG gutter and sidewalk in the plat�re new and unda�naged, vry darnage thereto shall be replaced �I th <br /> discredun of the Fublie Works Insp^ctor. � <br /> 6• Atry change in thc clriveway cut tnust be approved by the PW Lispector, width at prop fine litnited to <br /> existing apron width. <br /> 7. Adjust water boxes to e�ade at end of constnicfion. <br /> b. Drivewarys shall be completety cured bePore driving on them. <br /> 9. Rooftop drainage shall be discharged: <br /> • to the site's stomi drain,rystem (private or public) <br /> • to a residen6al roof downspout system designed prr secfion 4•4A oFlhe ciry stviJuds <br /> • onto splash blocks <br /> 1'he mediod selected will be �ubject Io PubGc W'o�1cs Departement approval. <br /> '�"— <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �� The undersigned ownedapplicant hereby agrees to hold and save harmless <br /> � the City of Everett irom any and all clalms tor damages,costs,expenses,or <br /> Approved for C nstructi py�, causes of action that may arise because of Installatlon and maintenance of <br /> / the improvement or other right-of-way use hereto applied tor and further agrees <br /> / to remove same upon notice from the City and to replace public property <br /> /,.(��-''-(� /'/L ��! 7•f.0 damag thereby. <br /> FINA�INSPEC?ION Date <br /> Approved as Conuruoted � <br /> a a9 <br /> Slgnature of Applican ' Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY 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 />