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�<"��e� APPlicatian For <br /> PUSLIC WORKS PERMIT Date__ 8-5-96 � <br /> Tl1 �O S 1 I N� PUBLIC WORKS DEPARTMENT 7/n��� <br /> � � � '�' � 3200 Cedar Street Public Works Permit N ��� <br /> "".' .EJBrett.WA98201 �'; 259-8810 <br /> �; Building Permit p__ 52493 <br /> �-� �, r.-, c� r-� r.., c:� o _: <br />' TYPE OR PRINT ONLY �; �^ c� o u'� cr� o r� o n: q� <br /> in ,.� c? �� r.i in ��Fub�iG Works Fee$ (/�/ � <br /> ':F �� 17� �q ,'�, ��n - P� �J p <br /> , ;2 ..+, � �.� .:. + �:t <br /> Metco Homes LLC 18913 Bothell;:Evt Hwy Iio�helx: WA�98012 '-81-0665 <br />� Owner Mailing Address c< ��. c��: pity_- o. n -�cip Phone <br />� L'� - !t �� rr' tr� fr' I:J :. <br /> ' <-' C: C9 S 1 O V� O W F� r_j (� <br /> _ �? r_ iu CJ U �-+ O i-' O 3 rA li i \1 . <br /> Owner �;. r-? .J J W � ir: p tC q I�_I ": 'I' <br /> ] 't 3 ) <br /> Applicant Maihng Address Cdy Zip Phone <br />' Describe Proposed Work new house <br /> W <br /> F- <br />, _ <br /> PROJECTi1DDRESS(if knotvn) 5423 13th Ave W Lot 6 Merrill Crk Ph 4 � <br /> Attach(our(4)copies of plans fur proposed�vork-Draw to scale and note the following ii applicable: W <br />� 'Property Lines •Oulline and dimensions of all existing and proposed structures cn ihe lot •Existing and proposed utilities o <br /> •Centerline of sireet •Indicate NoAh •Show 2ny proposed grading changes •Show measurement� <br /> DO NUT WRITE BELON�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 p�rtormed in accordance with this permit and current City of Everett Design and O <br /> Construction Standards and Specifications. <br /> 3. Call Location Undergrou�d Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. � <br /> I 1. Keep city streets clean at all times. � <br /> 5. Curb gutter and si$esval4; in the plat oxe ne�v and undamaged, any damnge therat o <br /> nhall be replaced at the d'ascretion of ttie Publi� Worke [nspactor. A <br /> 6• Auq chnnge in the 8rsvokrey cut must be approved by tho Public Works dreEpectr.rr, `i <br /> �vidth at pr�p line limited to existing apron :vidth <br /> 7. Adjust �veter boxes Yo grxde et end af construc,ion. <br /> �. Driveways enall be completely cureci before driving on them. <br /> 9• Rooftop dralnage sltall bs diecharged to the lots lnfiltrntlon trencli as per khe city's <br /> "Reuidential Ro��f Do�vrRpout System" :ietni! and as per the location information on <br /> the lot's site plan. Anr i.�nge in tt�e infiltration trench must be approved by thc <br /> Public Warke t.�apectn, Call for inspeotion prior to coverIng. <br /> J�� <br /> ACKNOWLEDGEMENi OF CONDITIONS <br /> � �/��� The undersigned ownedapplicant hereby agrees to hold and save harmless <br /> ` the City of Everett from any and all claiins for damages,costs,expenses,or <br /> Approved for 6ens md))J on Date causes of action Q;at may arise because of installation and maintenance of <br /> ,,U ' / ' iheimprovementoro[herright-of-wayuseheretoappliedforandfuriheragrees <br /> / to remove same upon notice from the Ciry and to replace public property <br /> i(�i%v�� �. �,� .L _y6 demagedthereby. <br /> FINAL INSP CTION Date <br /> Approved as Constructed ✓� <br /> '� �� � �z/�. <br /> Signature ok Applicant Dale <br /> WORK AUTIIORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEfiON.THIS P[RMIT MAY BE CANCELLED BY?HE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> 1 <br />