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� <br /> /CrY��� APPlication For . <br /> G PUBLIC WORKS PERfVIIT Date � 7-14-97 <br /> PUBLIC WORKS DEPARTMENT Public W rks Permit d � � `,�Z <br /> 320D Cedar Street <br /> ' E"o!o{tf�1��1 259-8810 <br /> ; �:p � �ui��iag�ermit N 55929 <br /> 2 6 iSyo u <br /> ll'PE OR PRINT ONLY Pub�iC vvork5 Fee$ � <br /> XPI!] O 000 .10 Mg O � �p - � <br /> N� N O OIA o � O O� o l� T• <br /> "'� • .i <br /> Metco Homes LLC 18913 Bothe �r �Hpy c�ot ��1� 1N a 16�261 <br /> Owner Mailing Address � U� � p-i Phane � <br /> City � Zi ¢ �. <br /> o- � � ..re a >. <br /> Owner J, o '-' � � � � � �v� <br /> Applicant Mailing Add�ess � �+ J w� 1' ~ W � Zi�p Phone <br /> ca "h��' iarm �s � acn � �F� <br /> Descrite Proposed Work _ new house <br /> - W <br /> H <br /> � <br /> PROJECT ADDRESS(if known) 5411 13th Ave W Lot 12 � <br /> Attach tour(4)copies of plans for proposed work-Draw to scale and note the(ollowing i(applicable: � <br /> •Property Lines •Outline and dimensicns o�all existing and proposed structures on the lo� •Existing and proposed ulilities O <br /> •CeMerline of sireet •Indicate North •Show any proposed grading changes •Show measurements <br /> DO NOT WRITE BELOV'J 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 performe� 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 /> ♦1�/�' <br /> i }Ceep city streets clean et nit timea. V♦ <br /> �5� Curb gutter and sidec��[� in the plat are new and undamaged, any dama�e thereto O <br /> ehalt fie eeplaced at the discretion of'the Public Worke tnspector. <br /> � Any chTnge in the drivew:�y ciit must be aFproved by the Public Works Inepector, � <br /> �vidth at prop line limited to eaiating apron width <br /> :' Adjust �vater boxes to grac{;; at end of construction. <br /> r Drive�vays ehall be completely cured before driving on them. <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � /^/���� �y�� � The undersigned ownedapplicant hereby agrees!o hold and save harmless <br /> �✓l y ( � the City of Evere!t trom any and all claims tor damages,costs,expenses,or <br /> Approved for Construction Date causes of action that may arise because of installation and maintenance of <br /> �.� � theimprovementorotherrighbof-wayusehereroappliedforandWAheragrees <br /> 'i� �- i �� ,�, to remove same upon notice from the City and to replace public p�operty <br /> � <br /> ���� ��-' - �-7 //•�7 damaged ihereby. <br /> FINAL INSPECTION Date <br /> Approved as ConstmcteA " <br /> 0/ <br /> SignaWre A i t Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO E DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> I <br />