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/ <br /> � APPlication For <br /> PNBLIC WORKS PERMIY Date 5-�-9� <br /> PUBLIC WORI<S DEPARTMENT Public Works Permit# �� <br /> 3200 Cedar Street <br /> Everett,WA 98201 2°9-8810 Building Permit a 55054 <br /> `�„ ��STING �o -z�-�� <br /> TYPE OR PRINT ONLY Publlc Works Fee 5� � <br /> Metco Homes I.LC 18913 Bothell Evt Hwy Bothell 98012 316-0261 <br /> Owner Mailing Address City Zip Phone _ <br /> Applicant MailingAddress City Zip Phone <br /> Describe Proposed Work new house ' t ' <br /> rir <br /> � <br /> — � <br /> �J♦ <br /> PROJECT ADDRL"SS(if known) 5413 13th Ave W Lot 11 � <br /> Attach four(4)copies ot plais for proposed work-Draw to scale and note ihe following if applicable: � <br /> •Property Lines •Outline and dimensions of all existing and proposed stmclures on the lol '6cistin�and proposed utilities <br /> •Centerline of s�reet •Indicate NoAh •Shosv any proposed grading changes •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. 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 46 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. ` <br /> r <br /> � <br /> 4. F.e�p city streets clean at all times. � <br /> 5. Cnrb �itter nnd sidetvnlF; in Yhe �nlat are ne�v and undameged, any damage ther <br /> �hafl be replaced at the diecreticm uf tfee Public Works In�pecta�r. � <br /> 5. Any change in the dri��e�vay cut must be approved by the Public Works Inepect , <br /> width at prop line timited to axisting apron width <br /> 7. Ac4Just cvater Uoxes to grade at end of construcHon. <br /> 8. Uriveways sLatl be cnmpletely cured before driving on them. <br /> 9. Rooftop 8rainage ehall he dischcirged to tho IotF inliltration tronch ns per Cho clty's <br /> "Reaidential Rnnf Do�vnspout 8ystem" detail nnd as per the locetion information on <br /> tf�e loC's sita plaii. rluy chenge 1n tlie infiltration txench inuat be approvad by tf <br /> Pe!b�1C V�J�?CI{4 ITl6[1F!CCOf� C'..'III POIi inspection prior to coverin . � � v 15�\\ <br /> � I�____�� <br /> M�Y � 31997 <br /> � ....... <br /> AC KNO W LEDG EMENT.OF•COfd D!TION ��rqpT <br /> � The undersigned owner/applicant hureby���Itt�X�id�rll'tsaVe h�rmless <br /> / C the City of Everett fmm any and all claims fo�jjbd��c�tE!�nses,or <br /> causes of action that may arise because of installation and maintenance oF <br /> A provedtorConstmction . ��� �heimprovementorotherright-oFwayuseheretoappliedforandfudheragrees <br /> G;' / to remove same upon notice from the City and to replace public property <br /> - � . j . /_ damaged thereby. <br /> ��.' c,rEL _ __"' � � /.L_ <br /> Fl AL INSPECTION Dafe <br /> Appmved as Constmcted <br /> Sign re ot Ap c � �e <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER TO BE 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 />