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Application For. <br /> � / � /., <br /> PIIBLIC WORKS PERI'JIIT Date 5-5-96 <br /> PUBLIC WORKS DEPARTMENT Public Works Fermit q �(p�ZGYY <br /> Tf1 POSTItdG � 1_3. �' 3200CedarStreet <br /> -�Everett,WA98201 ;259-B810 BuildingPermitp 52495 <br /> r; <br /> �� O C:� f] l i :_: C.� p G <br /> TYPE OR PRINT ONLY i �" ".; �,' �n� � �:� r.� n n <br /> �. �� -.-. c� �cr ci qi: �Qbl�ciV�orksFee$_Z�f -- <br /> r-� n.t U. or� .a ^ '_ p �n <br /> � Gi .,. _, a,i� _ �O r1� <br /> Metco Homes LLC 18913 Bothell E'y,} �Hwy Both�tl WA 9801`2 481-0665 <br /> Owner ldailing Address �::., �,� Ciryn _:- o: ir, Zip: Phone - <br /> In �r _,k n ' ' N} c �.� ,`,' --._ <br /> 3 Co Q� 7C .-�. _- G W C� _+� r"-r �_i <br /> - O f:J [i1 (.l !] t_i O F- O 'F Cil I�A __C_ <br /> QWileY O J ' W tr: fr. p cT, O I,.i '. � <br /> 2L fil �� �" rll r', �C .3 T (�� i� r t <br /> Applicant Mailing Address `'' City 2ip Phone <br /> Describe Proposed Work new house � <br /> — 1'� <br /> � <br /> _ V♦ <br /> PROJECT ADDRESS (ifknown) 5407 13th Ave Id Lot 14 Merrill Crk Ph 4 � <br /> Attach four(4)copies of plans for proposed work- Draw to scale and note the following if applicable: O <br /> •Property Lines •Outtine and dimensions o1 all existing and proposed structures on the lot •Er.isting and proposed utilities <br /> •Ceeterline of sireet •Indicate Norfh 'Show any proposed grading changes •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. All calis for inspection shall be made 24 hours in advance- phone 259-8610. O <br /> 2.All work shall be performed in �ccordance with this permit and current City of Evereri Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Serv;ce 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. ` <br /> r <br /> 4. Heep city et:eets clean at ali Yimes. � <br /> 5. Curb gutter and aidewalk in the plat axe new and undninaged, any riamage theret O <br /> shall be replaced at tfxe discretion of the Publir. Worke Inepector. a <br /> b• Any changa in the drivewav cut must he approved by the PubHc Works Inapector, <br /> zaidth at prop line IImited to erdeting�pron wiclth <br /> �• .1d}us't �vs�ter boxea to grade at end of constructlon. <br /> 8. Drivewaye shRll be complekely cured before drivii:�on them. <br /> 9. i2ooftop drainage shall be dischar�£ed to t}�e lots inflltrat?.on trench aQ per the city'c <br /> "Residential Roof Dowr.spout 3ystem" detail and as pez• the location informatlon an <br /> the lot's site plsn. My change in the infiitration trench must be approved by the <br /> Public Worke Inepector. C�tl for inapection prior to cuverIng. <br /> �� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> G /�_ � � The undersigned owner/applicant hereby agrees to hold ac�save harmless <br /> 1���� � the City of Everetl from any and all claims for damages,cos.s,expenses,or <br /> Approved for Cor.siryction Date causes of action ihat may arise because of installation and iaaintenance of <br /> L. — theimprovementoroiherright-of-wayuseheretoappliedforandfuriheragrees <br /> ' to remove same upon notice from Ihe City and to replace public property <br /> �/��� dama ed thereb <br /> �:l� ._------ �-/�� l` 7 9 Y' <br /> FINAL INSPECTION � Date <br /> Approved as Construcied ����`�� ���//CO. <br /> C <br /> SignaWr of Applicant� 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 PIiOJECT OVER 00 DAYS DURATION. � <br />