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�'�`� �'0�TI N G ""' ` �_�� Public Wo�ks Permit e ��/� <br /> Date 1-1Z�9S ' + BIL� Dapl.+ 46731 <br /> Application For .f — <br /> pugLlC WORKS PERM1�= PuhhcWorksree g_ <br /> iotal Fea <br /> � <br /> ¢ Less AOPI.fee Paid S--�— <br /> O <br /> n O C� O O O �jlanc9�°�-J O $ � <br /> $ c� ooino <br /> Pfint of Type Only � o � �; o .•r o vi o r'i v� <br /> �';� � w a�. :,i "i :�i � � � o <br /> m � <br /> Steven Bartlow Const 3711 122nd Pl SE E �eret�98208 337-91�9 � � � Phone <br /> � P <br /> Owner MaiFng Address i� 3� rx r� rr_ w '= <br /> o� ococ� xc� x � owci� woi.� <br /> 0 0 � � �, o � r+ o r o 3 m w <br /> \ O _1J WJ fife: O� c,I� a ninc.=.� <br /> N YC Gl 6. S 4� [n C� __ <br /> Owner Ci�Y Zip Phone <br /> --�'— Mailing Atidress � <br /> qpplicant <br /> Describe Proposed Work <br /> new house � <br /> v� <br /> Lu <br /> 5818 lOth Dr W _. Lot 79 hterrill Crk Gardens �� <br /> Project Address(if knownl -----' � <br /> Atlach four(4) copies of plans for proposed work- Draw to scale and nole�Cenlcerlin9 of streei;able: � <br /> • Property Lines � Indicate North <br /> • Outline and dimensions of all existing and � ghow any proposed grading changes <br /> � praposed struciures on the lot � Show measurements M <br /> • Existing and proposed utilities ���� <br /> DO NOT WRITE BELOW THIS LINE o <br /> PERMIT CONDITIONS � <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259•8810. <br /> 2.All work shall be pPrformed in accordance wi�h this permit and current City o(Everett Design and Construction <br /> Standards znd Specificalions. - � <br /> Call Location Underground Service 48 hrs.betore you dig.TOLI F!�:�E NUMBER 1-500•424•555 . <br /> �' h_ac� cit}' streets clean at all timec. O <br /> �. Curb guii�r:u�d sidewalk u�ehe plat are new :uid unduna[�zd, a�ry daznage ihen. ; sh;ill be rcplacad a�ih� <br /> discretiou oPllie Pubfic \Vorks Lispcetor. I <br /> (_ qm� c�mn�c in �he rhiveway cnt amst be apprm�ed by thc Public Works Uispector. widtli at ptop line � I <br /> ' �flWlCt� �U c�1S�lllK e�i1V11 WItIIII. DIIVCIP�}' 1118y �J�)CI t;i:Itlll:lll}' �� IlICC� Kel��'� lIOU( CIIIt111tC ��Of 8R <br /> spprovcd 3 car taraige). ♦/� <br /> Adjusi waier boxes to e�ade al end of consmiction. Oe/ <br /> �. Diivaway� sl���ll L� compl�lcly cured bcPorc d�ivmg mi lhcm. � <br /> 9. Roo(Top drainage shall be Jiscl��r�ed to thc lots intiltr�tion trench e� per tUe "Fesidenfial Roof Downspont <br /> JYSfC1I1�� dciail lanached! :uiJ as per�he siang:uid locaiion infoimation on the lot's site plan. A /� <br /> preconshuction mecl�ig mir:.l be schcduled witli Alan Loci:c (:��E-9655 mob. or 2S9-8S10 oIT'ice) prior t� �i <br /> inslallafinn of Ihe inlitlratinn systctn. Aiq� chanve in the infiltration h'ench must be approveA bV fhe Public <br /> �'uil:s Iuspedui. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harm� <br /> less lhe Ciry of Everett irom any and all claims for damages, cosls, <br /> /�1 ezpenses. or causes of aclion that may arise because of inslallation <br /> / /_/C�/�� �i7/f /: _ Z/� �t�' and rt�aintenance oi the improvement or other right-obway use hereto <br /> //li j�"Yl (�(',L � applied for arj turther agrees to remove same upon notice from the <br /> (r (�1 Date City anC to replace pu6lic property damaged ihereby. <br /> Approved(or Con��'ruc�lion � <br /> ��.�:�'_ �� j�-y��� _ 2 �- ��s <br /> Date Date <br /> FINAL INSPECTION g,.j ature o pplicant <br /> Approved as Cons�ructed WORK AUTHORIZED BY THIS P� 11T MUST BE STARTED WiTHIN <br /> FUBLICWORKSDEPARTMENT 180 DAYS 0� DATE PERMIT IS ���UED AND THEREAFTER IS TO <br /> 3200CedarSireet 8E DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> cverelt,WA9B201 pROJECT OVER 90 D YS DURATIpN.STOPPAGE OF WORK ON THIS <br /> ?hone:259�88;0 <br />