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� \_J aFPlica�ion Pci — / <br /> PUBLIC WORF�� �`�����VIlT Date_______4-4-96 <br /> PUBLIC WORKS DEPARTMENT Public Works Fermit# ��fJ� <br /> 3200 Cedar Street <br /> F.verett,WA g8201 259-881� <br /> +� � 1�� Bw�dirqpermit# 52771 <br /> TYPEORPRINTUNLY ��,• ��all�ti+ � � <br /> � Pu61ic Works Fes S� <br /> Metco Homes LLC 18913 Bothell Evt Nwy Bothrl'. 4.3p'2 4R7.-0665 <br /> Owner �dailingAddrees Ci'/ :_ � -� phone i1. <br /> Owner ��� <br /> App6cant Mailing Address City Zic Phone <br /> �. <br /> Describe Propos�d Work new house <br /> ti9/11/96 :i:32F11 ppOp#76^ : -F:.�=: <br /> — �-- �ris <br /> H00052771 �A <br /> - — r°'�ef'r 47a'3c-S�B � <br /> PROJECTADDRESS (ifknown) _54f5 _:' .: _�ve W _ Lot 5 Merrill� P� kcay�l�•� �/,�' <br /> Attach four(4)copies of plans for proposed v ork-Gr:iw to;calF and�ole ihe foAo�:�inG if applicable: fnCHhG $4.5Q +`�yyyya <br /> •Pmperty Lines •Outline and dimensiuns of nll exisY�, � : ,�ipr.sed siruU r�::pn the lot •Existing and pr�'��Lti�ities$�0.00 �r� <br /> •Centerline of sireet •Indicate Norih 'Shov c,�proFosed grao ig ct:,.�gEs •Show measurements ��9090 a <br /> — 1 � <br /> �O NO?WRITE BELOW TiiIS LIP:E HOi1030786 <br /> PER�AITCOMDITIONS: �W� $70.� � <br /> 1. All calls for inspection sha�i h made 24 hours in advance- phone 259-88'10. 51SDEV 348^c.00 <br /> 2. P.II �vork shall be pertorme:! ir. accordance with this permit and current Cit�of Q}�gRt D�q�p O <br /> Construction Standards and Specifications. <br /> 3. Call �ocaticn Underground Service 45 hrs. before you dig. TOLL FREE NUMEiER 1-800-424-5555. _ � <br /> 4. Kee� cxty etc:.::tr clean at aii times. � <br /> � Curb gutter mnd sidewalk in the plat are new and nn�amaged, any daiEiage theret O <br /> shall br� replrcea at �he disr_retion af the Publie VJorks Inapector. A <br /> E'. An} c'ha�igo in t3i� :iriveti�my aut must be approved by th 3 Pnblic Works Inepector, �i <br /> wi�th a.t prop iinz Irnited to e�dstin� apron zvidth <br /> 7• Adjuct waker b.,xes to �,7Ade ut end oP ca�tstruetlon. <br /> S Lrivewi�s stiall be� cornpteteiy cur�d 'oe1'o+.�e driving on thecn. <br /> `-i� Rooftof� drainn,;� ,3lttell ye diescf2ar;��!d to th�� lots infiItrat3on trencf� aa par the r_ity's <br /> "Reeidentia! Rc:uf Ltownsoout 8ystem" de�_ail and as per the location informatioti on <br /> i[ie lot'fs site ��an. elny change in the inf ltration tretach mus' :,� approved by the <br /> Fublic Wor!ss Inspoctor. Cn11 far inspect:on prior to covering. <br /> ���� <br /> � ACKNOWLEDGEMENT OF CONDITiONS <br /> �/jiJ �j The undersigned owner/applicant hereby agree;to hold and save harmless <br /> _� (�� f/( (.(.�.• q/�j/�/� ihe City of Everett from any and all claims tor darnage•.,cosis,expenses,or <br /> � .>ppr��ed for Cor:struy85n Date �— �5�� causes of action that may arise because of installai�or and m2ir.tenance of <br /> / the improvement or other righbo4way use hereto appi:er,tor and further agrees <br /> ��. � to remove same upon no'ice from ihe City and to rc�place public propehy <br /> i�.. �.�-:� <br /> �� ..�_.�_ �-� }l/7-� 7 damaged ihereby. <br /> FIN<,L INSi=EC710N Date �� / , <br /> Approved as Constructed �/�q�J����'�,JI ,L—_ l / <br /> 1L <br /> - Signatureof ' ant � T1e <br /> IhORK AUTHORIZED 6Y THIS PERN.IT MUST BE STARTED WITHIN 180 DP.YS OF DATE PERMIT IS ISSUED AND THEFEAFf[R IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEfION.THIS PERAIIT MAY 9E CANCELLED�Y THE CIN UPON ANY STOPPAGE OF V�ORI(ON THIS PROJ�CT OVER g0 DAYS DURATION. <br /> ___'�. — —u . <br />