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:Trcim�w.�,�� <br />` <br />� <br /> I <br />� � APPIicalion For / <br /> PlJ�L�C WORKS PERIVII�' Daie 3-6-97 <br /> PUBLIC WORKS DEPARTMENT Public Works Permit•Y . _ __[L�� <br /> 3200 Cedar Slmet <br /> F:�eretL WA 98201 259-681U <br /> BuildingPermitq__ Sy419 <br /> TY?E OR PRINT ONLY ��9 �'{1,�T,�(j SEP 1 7 �99� <br />�'I � Publir Works Fee$ � <br /> i N,etco Homes LLC 18913 Bothell Evt Awy Bothell 98012 316-0261 <br /> I �W�'� htailing qddress Cit <br />� Y ZiP Phone � <br /> Owner '�j <br /> Applicant Mailirg Address City Zip Phone <br />� <br /> Describe Proposed Work new house <br /> W � <br /> F- <br /> - <br /> PROJECT ADDRESS(if known) 5417 13th Ave W Lot 9 � <br /> Attach four(4)copies of plans for proposed work-Draw to sc21e and note the following if applicable: i/iqrl <br /> •Property Lines •Outline and dimensions o(all existiny and proposed simcWres on the lot •Existing and proposed utiiities ( ' <br /> 'Centedine of street •Indicate North -'Show anv proposed grading changes •Show meas��rement; � <br /> �0 NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: � <br /> 1. All calls for inspection shall be inade ;?4 hours in advance- phone 259-8810. <br /> 2. All work shall be pertormed in accordance with this permit and current City of Evareit Design 2nd ^ <br /> �� ': Construr,!ion Standards and Speci:ications. �/ <br /> j 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE FIUMBER 1-800-424-5555. � <br /> � <br /> -.. Ft�c� city streata claan at aSl timas. �� <br /> 5. Curb gtttter and sidecvalL- in ihe plat are new and t�nciam�ged, nny <lamnge therrtn � <br /> ekiail be rnplaced at lhe uisc:retiun oi'the Pub(ic Works LibNector. � <br /> C. Any chauge in the driveway r.ut miist be approved by the Paeblio �Vorks Inspector, <br /> width at prop line lianited to exieting apron �vidth <br /> 7. Adjuat n*�ter boxes to grade at end of construction. <br /> ts. llriveways ehall be comaletely cured tefore dreving on tnem. <br /> ^. t.00ftop draivage shatl be disehargod to thn Iets �nfltr�tion traneli ac per ihe eity'e <br /> "Residential Roaf Do�vn�pw�t Syetem" detail and as per thn I�r.ation ini'ormetion nn <br /> ilie IoCs aite plan. Auy clixnge iu tlr.e infiltration trench muat b.: �pproved by thG <br /> 2�eblie Worl:s Innne�tor. Cnl1.. fo� enspection prior tn covering <br /> �' <br /> ��`� <br /> ACK�JOWLFDGEMENT OF CONDITIONS . <br /> �+ Ths undersigned owner/appticant hereby agrees to'-,old and save harmless <br /> Y� 3 /� / 7 the City of Everett from any and atl claims for damages,costs,expenses,or <br /> Ap oved for Const�tion Date ceuses of action that may arise because of installation and maintenance o� <br /> the improvement or other right-of-way use herelo applied for and further agrees <br /> �' fo remove same upon notice fmm the City and to replace public property <br /> � . , �_�_i �_��/ f � damaged ihereby. <br /> FINP INSPECTI Ir� Uate n . ,q 1 � ' <br /> Approved as Constructed � ( v I <br /> 7.,/ �! a� <br /> Signatu e of Ap lic it Date <br /> WORK AUTHORIZED Bl'THIS PERMIT MUST BE STARTED WITHIN 18Q f]AYS OF DATE PERMIT IS ISSUED AND THEFiEAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEfION.THIS PER�dIT MAY BE CANCELLED BY THE CIN UPON,1NY 5(OPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />