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.� .�...�.---- _ _ _.�. . . .:. <br /> , � <br /> � APPlicatiun Far 8-5-96 <br /> PUBLIC WORKS PERMIT Oate <br /> PUBLIC WORKS DEPARTMENT Pu61ic Works Permit N �.(0�� <br /> 3200 Cedar Siree� <br /> Everett,WA 98201 259-8810 Building Permit N 52494 <br /> TYPEORPRINTONLY �" �O��I�" �� 1 � � <br /> Public Works Fee$_!�c/l <br /> Metco Homes LLC 18913 Bothell Evt Hwy Bothell W�1 98012 481-0665 <br /> Owner Mailing Address City Zip Phone 1 <br /> C�J <br /> Owner <br /> Applicant MailingAddress City 2ip Phone <br /> Describe Proposed Work new hause � <br /> nai^aiaa ���n � �-,' <br /> / � <br /> unnn4arac ♦� <br /> �r i <br /> PROJECT ADDRESS (if known) 5419 13th Ave W Lot 8 Merri� rk Ph7 2.50— � <br /> NECH 360.� A <br /> Attach four(4)copies of plans for propcsed work-Draw to scale and note the following if applicable: S4.S� � <br /> •Property Lines •Outline and dimensions of all existing and proposed slrur,tures on the lot 'Existing and p �utilities <br /> .IVbI'! S20.QD <br /> •Centerline of street •Indicate North 'Show any proposed gradicg changes •Show measuremenis�90BS � <br /> �-- DO NOT WRITE BELOW THIS LINE • � <br /> PERMIT CONDITIONS: H0003D776 <br /> 1.All calls for inspection shall be made 24 hours in advance - phone 259-8810. SE4lER 970•CO O <br /> 2. All work shall be performed in accordance with this permit and current City of CH��k D$Sf�"sa� <br /> Construction Standards and Specifications. <br />, 3. Call Location Underground Serv?�e 48 hrs. before you dig. TOLL FREE NUMBER 1-d00-424-5555. H <br /> V♦ <br /> 4. FCzzp city streets clean at ail times. � <br /> 5. Curb guttet and side�valk in the plet are ne�v and undamaged, en,y damage theret <br /> u(iyil be replaceci xt 4he ciiecretion of the Public Works inspector. a <br />� 6. Any change in tl�e drivoway c�st must be approved by the Public SlJerka Ins�ecfor, <br /> width at prop tine limited to existing Apron width <br /> ?. AdJuct tvater ho:cee to grade at end of construction. <br /> 8. Driveurays ahAll be completely cured before driving on them. <br /> 4. Raoftap drainage ahall bo dlscharged to the lots in}iLtraHan tranch as per the city's <br /> "Residential Rocf Da�vnspout System" datail and as per the locatiot� infnrmation o�i <br /> ttie IoYs site plan. Any chauge in the inritratiou trench uiust ba :,p�;;oaed �y t.�r <br /> Public Works Inspectar. Call for inapection prior tn covering. <br /> '�'�s� <br /> L <br /> ACKNOWLEDGEMENT OF CONDITIONS <br />' ����� _I �/��� The undersigned ownedapplicant hereby agrees�o hold and save harmless <br /> (�!„ the Ciry o�Everett from any and all claims for damages,cosis,expenses,or <br /> ���J� causes of action that may arise because of installalion and maintenance of <br /> ApprovejkrConsimction- Date theimpnvementorotherright-of-wayusehereloapptiedforandfuriheragrees <br />� .��� . , to remove same upon notice fmm the City and to replace public propeAy <br /> / /f,,�7 damagedihereby. <br /> /�� �L�' /�"�`� <br />� FINAL INSPECTION Date � <br /> Approved as CansUucled • �� � � . 9� <br /> Signatu e of Applicant <br /> '` Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THE�EAFTER IS TC BE DILIGENTLY PURSUED TO <br /> COMPLEfION.THIS PERA9IT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />