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� APPlication For — <br /> PUBLIC WORKS P�RMIT Date 8-29=96 i <br /> PUdLIC WORKS DEPARTMENT Public Works Permit N _ ��I?JZ�o <br /> 3200 Cedar Sheet <br /> Everett,WA g82J7 259-II810 <br /> � 1 � 19aq Building Permit H 52709 <br /> 7YPE OR PRINT ONLY Tp pOSTi N G _____–�— Public N.�orks Fee 5 Zv <br /> Metco Homes LLC 189:.3 Bothell Evt Hwy Bothell 98012 316-0261 <br /> Owner MailingA,'i•�ss ��� <br /> Y ZiP Phone <br /> Owner 09/23/9b 3=52FH ODORH7815 �) <br /> Applicant Mailing Address Cit <br /> Y Zip �O�L�Bone . —� <br /> Describe Proposed Work new house BLDG 5841.00 <br /> t�cH sbo.00 � ''�' <br /> --s��e-- <br /> cRrvw�r szo.00 �• <br /> PROJECTADDRESS(if known) 5409 13th Ave �7 Lot 13 Mer�� s�cQWy�Ph 4 M� <br /> Attach four(4)copies of plans for proposed work-Draw to scale and note the following if applicable: $E{�ER $�p,00 W <br /> •Property Lines •Outline and dimensions of all exisling and proposed slrucWres on lhe lot •F�cisting and p��utiPt��82.00 O <br /> •Centerline of street •Indicate North •Show any proposed grading changes •Show measurements�E�f� s16�3.5D <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 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 1-500-424-5555. � <br /> a. Fteep city streets clean at all times. �+ <br /> 5. Curb gutter and sid��valk in the plat are ne�v and undamaged, any damage theret O <br /> ehail be rep7aced at the diccretion oF the Public Worke Incpeckor. � <br /> b• My change in the drivecvny cut must be approved by the Pub(lc Works [nspector, <br /> width at prop line limited to exlstIng apron �vidth <br /> ! Adjust �mter boxea to grade at end of conetruction. <br /> 8. Driveways shalt be completely cured before driving on them. <br /> 9• Rauftop drainnge shall be diacliarged to the lote i <br /> „ReAic{e <br /> <is �,r nc�ta- on �Iz�n. <br /> '}����5' S�+o r,n d 2i�n sh�b. <br /> ,c <br /> �/�/��.J� ACKNOWLEDGEMENT OF CONDITIONS <br /> Ld�^^'=' � L_^""� 9/�I („ The undersigred ownedapplicaN hereby a9rees to hold and save harmless <br /> `i� the Cily of Evere�t from any and all claims for damages,cosis,expenses,or <br /> Appr ved for.Const ion Date cau�es ol action that may arise because of installation and maintenance ot <br /> / the improvement or other right-of-way cse hereto apnlied for and further agrees <br /> ��' L� to remove same upon notice from the City and to replace public propeAy <br /> r� �. -i.-- 5�.27• 77 damagedthereby. <br /> FINAL NSPECTION Date <br /> Approved as Constmcted � � �. <br /> � ,, % ru�,C�r 9'a' ( <br /> Signature of A " ant Oate <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PER�v11T IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY TH�CIN UPON ANY STOPPAGE OF WORK ON THIS FROJECT OVER 90 DAYS DURATION. <br />