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PUBL�V WD� ����, 4/11/96 � <br /> � PUBLIC W DEPARTMENT Public Works Permk M v �� <br /> 3200 Strast <br /> Evereti,WA 01 259-8810 Buliding Permtt N 51410 <br /> � gs � 8 S Sgg <br /> TYPE OR PRINT ONLY � � � �� Q � g bl�Wa1ca Fee S <br /> � <br /> COUNTRYW��D 30MES 14410 BEL �ED iR�" BELL 80� 649-8159 <br /> � <br /> Owner Meiling Address� ��� � � � � � � � � ZIP Phona —O <br /> � 3 � <br /> Applicent Malling Addreea Cly Zip Phone � <br /> Describe PropoSed Work NEW HOUSE - BASIC 1178 <br /> � I <br /> � ' <br /> PROJECT ADDRESS(if known) 5931 25TH AVE W LOT 1 � I <br /> Attach four(4)coples of piens for�roposed work-Draw to scale and note the followinp if applicable: � �� <br /> 7roperty Lines 'Outline and dimenslone of ell existing end proposed ffirucmrea on the lot •Exlsliny and proposed utilttles O i <br /> 'Centedine oi street •Indicate North 'Show eny proposed gradlnp changes 'Show measurements � li <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2.All work shall be performed in accordance with this permR and currem f Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4?A-65E6. H <br /> � <br /> I. Keep city streets clenn�t nll times. O <br /> S. Z;UIL KUIICI :UI(I SI(JCWiiIIi Ill UIC}IIB�8CC IICW BIId 1U1d8I118�,C(I, a�ry Ja�uage thcrclo shall be repiaccd at the � <br /> disere6on oFihe Pttb6c Works Inspector. <br /> b. My change c�the driveway cut must be approved by the P W inspector, width at prop Ime Imrited to <br /> �:cuting aprott width. <br /> �. Adj�ist water boxes to grade at end of conshuction. <br /> 8. Driveways shall be completely cured before �iving on them. <br /> 9. Rooflop drainage shan be discharged: <br /> • to the site's storm drain.rystem(private or pubfic) <br /> • to a residentiai roof downspout system dcsigned per sec6on 4-9A of tl�e city standxrds <br /> • onto splash blocks <br /> fhe method selected will be subject to Pubtic Wodcs Inspector approval. <br /> � � <br /> ACKNOWLEDOEMENTOFCONDRIONS <br /> � The undsnlpned owner/appllcent hereby ap.ess W hald aruf save harmless <br /> the City of Everett from any end all clalms lor damepes,wats,expenses,w <br /> App ved for G� nstructlom De caueen ot actbn thet mey arlse becauas of InahHMlai and malntenenca of <br /> the Imqovement or other rlgM-of-way ues h�rob appNsd}or end further aprees <br /> ;�.� to renave aame upon notke trom tha Clty and ro repace publb propeAy <br /> iG'il�� /�/3 'S! aam�ea m�v <br /> FI�LA ItTS� N Date <br /> Approved as Conatructed <br /> Slgneture of Appllcant Dste <br /> WORK AUTHORIZED BY THIS PERMR MUST BE STAFiTEO WITFIIN 180 DAYS OF DATE PERMR IS ISSUED AND THEREAFIER IS TO BE pIUOENiLY Pl'RSUED TO <br /> CAMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY 9TOPPA6E OF WORK ON 7HI8 PRO.IECT OVER 90 DAYS OUMTION. <br />