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Application For � <br /> � PUBUG VUORKS PERMIT �a�e 8-20-97 <br /> �'' � <br /> PUSLIC WORKS DEPARTMENT Public Works Permii tl � / S <br /> 3200 Cedar Sireet <br /> Everett,WA 98207 259-8810 <br /> n����� � BuildingPeimittl 56289 <br /> � �() ['T 9�R .--��j� <br /> TYPE OR PRINT ONLY Public Works Fee S CiC/ J <br /> ifetco Homes LLC 18913 Bothell. Everett Hwy Bothell WA 98012 316-0261 <br /> Owner Mailing Address City Zip Phane - <br /> Owner � � <br /> Applicant Mailing Address City Zip Phone <br /> Describe Proposed Work new house _ — -- � <br /> -- � I <br /> � <br /> PROJECTADDRESS(ifknown) 5421 1°�h A�z W Lot 7 � <br /> Atlach tow (4)copies of plans for proposed work-Draw ro scale and note the following if applicable: q p qq np � <br /> •Property Lines •Outline and dimensions of all existing and proposed sVuctures on ihe lot •Existing�dd p�pbSe�tl���S�M O <br /> •Centedine of street •Indicate Norih •Show any proposed grading changes •Show measurerp�,nts,� tl9 <br /> ❑ULLL B�j.2,`j � <br /> DO NOT WRITE BELOW THIS LINE . <br /> PERMIT CONDITIONS: t1ECH 60.00 � <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-88��HG 4.50 <br /> 2.All work shall be pertnrmed in accordance with this permit and current Cit�'df�verett [S�iQ�and O <br /> Construction Standa�ds and Specifications. It 9503 <br /> 3. Call Location Underyround Service 48 hrs. before you dig. TOLL FREE N�f�ER 1-�dd-�$4-5555. � <br /> b 31P45 <br /> SEWEFi 70.00 (^ <br /> =• FCeap city ;;traats claan at al' temea. UiILiTY 482.00 ��� <br /> �S Curb �-�ttter and sidewalk {n thn p(Rt 2ro netv and tmdarr'�fi��fd, adf]ga7fiage tharetn � <br /> xFiall be rep(acec( a�t LLe di�cretian of the Publio Work� Ir.Fspectur. CyEF; 7�'i5 <br /> " Any chan�e in the drivscmy cut must be approvad b; the Fubli�4 YfRk�i Inapector, � <br /> �vidth at prop line limited to exiating apron width <br /> '' lldjuct �vater boxes to �rade n+ ��nd of constructl.on. <br /> �s, llrivewaya sl�all be completel aured before driving on them. <br /> �• PoufEop ctrninaga ettall be disa;h�rged to the luts infiltration trench �s per the city's <br /> "Reaident:ial Rnof Downepoirt .'dystem" de4ail and as per the lacation information on <br /> �lie tut'e site pl�n. �uy cltangc in ihe lnrltratiou trench must be epprovect Uy the <br /> Pi!hlec iAorics InRpect�r. Call for inFpe�tion priar to enveT�ng. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � /� � The undersigned owner/applicant hereby agrees to hold and save harmless <br /> ,��(}���_� O�� � �� ihe City of Everetl from a�y and all daims(or damages,cos!s,expenses,or <br /> App ved lo�Consiruction � �" � causes of action that ma arise because of installation and maintenance of <br /> the impmvement or other righl-of-way use herelo applied for and further agrees <br /> ',i/� �/ to remove same upon notice from ihe City and to mplace public property <br /> J�"�'��t - /.� .// • y 7 danaged ihereby. <br /> FINAL INSPECTION Date <br /> Approved as Constmcted � ^ <br /> C.j <br /> Signature of A i t �a�e <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUF.D AND THEREAFTER IS T E�ILIGENTLY PURSUED TO <br /> COMPLEfION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON i HIS PROJECT OVER 90 DAYS DURA"i ION. <br />