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� <br />ApPlication Por <br />PUBLIC 4NORKS PERMIT <br />TYPE OR PRINT ONLY <br />Kay/James Mal-teson <br />Owne: Mai <br />Owner <br />Applicant Mail <br />Describe Proposed Work nea ' <br />PROJECT ADDRESS (if known) � <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA P8201 259-8810 <br />APR 0 5 2001 <br />TO POSTING -.-- <br />Oate 1-22-97 <br />Public Works Permit N <br />Buildin�� Permit t7 54034 <br />Public Works Fee 5 _�/ <br />18 29th Ave SE Mill Creek WA 98012 316-8361 <br />cny <br />City <br />Phone <br />Fhone <br />r.oe s sr ���f�! �8-95 <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: <br />•Property Lines •Outline and dimensions of all exisling and proposed strucWres on the lot •Existlng and proposed uE ities <br />•Centedine of street •Indir.ate North °Show any proposed grading chan9es •Show measurements <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. <br />2. All work shall ba pertormed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. 70LL FREE NUM$�R=1-800=42M5555. =-'' ' <br />�i00��-'� �34 <br />pu ScL7,0i, <br />i. keep city stiects cicatt at ;dl times. c� o,; pP;, _�, <br />Curb eulter and sidewaii: in du plat ve nc« arid undamage�. arry ilamage tFir�to sh�li bBJe}IINc�d at tl <br />;liscrvtion of the PuUlic Works Inspectoc S��CHsG :�. ,_; <br />6 AiN ch�»Fe in the drive�vay cul must be approvad by the FW [nspeelor. tvRfll���i`�T�ro�� &nb' 17tiiteJ to <br />�xisimg apron width. ,I�,�Dn�1,.,: <br />-. ,ldjust water boxes to grade at end of constn�ction. ^'� =� D' ��.. �-+�� <br />� U�iceways shall be completely cured beforc d�i�in� on them. ����'C`%�� <br />i .z n` <br />`� Roottop de�iu,�re sh�ll be discliar�ed to thz stonn draina�e sh�b located at tF�F ^` 0 1 g` o'C; � <br />��^6�'! �'��(�.. (�� <br />�_,:.IJ.LI i J.��J. JL' <br />2.,(%l� .,��. S-Z9—F7 <br />FINAL It:SPECTIqN Da!e <br />Approved as �onstructed <br />_ �_�. .'�f��i�I.1 <br />� <br />p <br />�1"A� <br />V♦ <br />� <br />a <br />ACKNOWIEDGEMENT OF CONDITIONS <br />The untlersigned ownerlapplicant hereby agrees to hold a�d save harmless <br />the City of Everett trom any and all claims lor damages, costs, expenses, or <br />causes of action that may arise because of installation and maintenance of <br />the improvement or other right•of-way use h=reto applied for and furihar xgrees <br />to remove saTe pan notice from the City and to replace public property <br />damaged ther� <br />�/O` %`7 <br />WORK AUTHORIZED 6Y THIS F[RMIT MUST t3E ST,qHTED WITHIN 180 DAYS OF DATE PERMIi7iS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETIOtJ. THIS PEfiMIT MAY Bi CHNCEI LEO BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS FROJECT OVER 90 DAYS DURATION. <br />