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■ <br /> `�� P�STING� nr.T 2 fi 1998 _ <br /> � APPlicalion For ,.� " <br /> PUBLIC WQRKS PERMIT Date �0-��-9� <br /> PUBLIC WOPI:S DEPARTPAENT �f �/33q- _ <br /> Public Works Permit k <br /> 3200CedarStreet �I� <br /> Everett,WA 98201 259-8810 ,j., <br /> t� euilding Pr•mit#_ 56824 _ <br /> i <br /> TYPE OR PRINT ONLY Public Works Fee$ <br /> ;C •S `C� O �� OOh706d06b'1 [— <br /> 1. CJ [`- � J �^ oinocoord d' <br /> ^. p] . L7 � M �O <br /> U Y`'i .� c` :F c� o � o C'l .-I <br /> Metco Homes LL� �"-1�$;919�Botnp�l�'��ct��H ym Bo;€�ell 98012 316-0261 <br /> Owner Mailing Address ��. Zip Phone <br /> c— <br /> � � � � _/ <br /> Owne r ,r u n� ,r �,� � :r_ ��{ � � <br /> Applicant Mailing AdtlJes�'w � � ¢ w �Cit� Zip Phone �� i <br /> .- :.. ,�i �:i_ s_ Cf1 G � 3 .••... Ul � p� <br /> Describe Proposed Work New house - Basic 1229 � <br /> � <br /> � <br /> V♦ <br /> PROJECT ADDRESS(if known) 5403 13th Ave [d Lot 16 � <br /> Attach four(4)copies of plans for proposed work-Draw to scale and note ihe following if applicable: � <br /> •Property Lines •Outline and dimensions of all exisling and proposed slructures on ihe lot •Exis�ing and proposed utilit�es <br /> •Centerline of street •Indicate North •Show any proposed grading cnanges •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT f,'ONDITIOPIS: � <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 permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> •�� �:�:�� city strezLs .:iean at aIl times. � <br /> 4 f:itrb �itter �nd side�valk ia the pl�t �rF ne�v nnd uttdamaged, any damage thereto � <br /> bL�lt be rnplaced ut tlie iliac:retiou of t}te Public Works Inetpectoe � <br /> `= Any change in tho drlve�vay cut mnst be approved by the Public �Vorks Snspector, <br /> �vidth et prop line Dimited to existing apron width <br /> 7. Actjust �vater boxes ta grnde at end of constructton. <br /> r:. Uriveways eiiall be comptr�tely cured before driving an the.�r�. <br /> -• Raofto� cirainc[�e ahalt bc diee.yarged to tha lots in(iltration trenel� aa ner tlie city's <br /> "r'2esiderrtiai Roof pownspout 3ystem" detnil and aa per the location informatior� on <br /> �Le luL's sdta plen. �1ny clianga iii the in6ltrntion trench inust Ue approvecl by tlie <br /> P�shlio V1lorlr.{ inFp�ctoc C�i1 fbr inR�ectian pri�r to co��ering. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> / C�� ����C�� /Q/���� The un�ersigned owner/a Ypticant hereby agrees to9 old and sav Pharmless <br /> G the Cit of Everetl from an and all claims(or dama es,cosis,ex enses,or <br /> A�,pBi ved for Gonstmcf Da.e causes of action lhat may a�ise because of installation and maintenance of <br /> `.� , � theimprovementorotherright-of-wayuseheretoappliedforendfudherag2es <br /> ; �'� �. - to remove same upon nctice irom the Ciry and to replace pu���c pmpeAy <br /> �,-��c'��lj�. �f=%�� damagedihereby. <br /> � <br /> FIPNPLINSPEETION Date ^ . �� � ��� <br /> A mved as Consiructed / � / � <br /> ya_ ^ <br /> Signalure of pli ant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTE IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY S�I i,PPAGE OF WOPK ON THIS PFOJECT OVER 90 DAYS DURATION. <br />