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� ,_ <br /> „ .w- , i <br /> Application For � <br /> � PUB �LIC WORKS PERMIT Date 9-4-96 <br /> PUBLIC WORKS DEPARTMENT Public Works Permit k "1 �(i/'�7 I <br /> 3200 Cedar Slreet <br /> Everett,WA98201 259-8870 52770 <br /> Building Permil N <br /> . ,, �OSTING oEc_ °—_' 20°° <br /> TYPE OR PR�NT ONLY ' Public Works Fee S � ^ � <br /> Metco Homes LLC 18913 Bothell Evt Hwy Bothell 98012 481-0665 <br /> Owner Mailing Address City Zip Phone `r <br /> \ <br /> Owner <br /> Applicant Mailing Address City Zip Phone <br /> 09/11/96 3:29°M OOOAH762 'kK_k:8 <br /> Describe Proposed Work new house / � <br /> fi0005e.^770 <br /> BLD('i l832.00 � I <br /> Pi.BG 591.00 � <br /> MECH l60.00 //� <br /> SRCHRG t4.50 \/♦ <br /> PROJECTADDRESS (�f known) 5501 13th Ave W Lot 4 Merp��,Crk �pPh 4 � <br /> Attach four(4)copies of plans for propo:ed work-Draw to scale and note the following if applicable: ����f1� � � <br /> •Property Lines •Outline and dimensions of all existing and propcsed structures on th2 lot •Existing and p��i�jes <br /> •Centerline of street 9ndicate North •Show any proposed grading changes •Show measuremen!s�� 570.� � <br /> DO NOT WRI?E BELOW THIS LINE p{ECY, S156k.50 <br /> PERMITCONDITIONS: Z I <br /> 1. All calls for inspection shall be made 24 hours in advance- phone 259-8810. o � <br /> 2. A!I work shall be performed in accordance with thi�permit and current City of Everett Design and '; <br /> Construction Standards and Specifications. <br /> 3. Csll Location Underground Service 48 hrs. before you dig. TGLL FREE NUMBER 1-800-424-5555. ` <br /> r <br /> 3. Keep city streets clean at all times. � ; <br /> 5. Curb gutter and sidewal{� in the plat are ne�v snd undamaged, any damege theret! O d <br /> I ahnll be replaced at the �lisceetion of the Puhlic Worke Inspector. � � <br /> 6. Anq chenge in [he driveway cut must be approved by Ehe Ptcblic R►orke Inspactor, <br /> width at prop line IImited to exlating apron width i <br /> 9. Adjust water baxea to grade at end of conetruction. <br /> 8. Drive�vaye shalt be completaly cured before driving on th�rt�. <br /> 9. Rooftop drainege shall be diecharged to the lota Infiltn►t➢an trench as per the aity's <br /> "Reaidentiat Roof Downepout 9yatem" detail and es per the tocation Informntion on <br /> tne ioYs site Qtan. Any change ln the insltret3on trench must be approved by Yhe <br /> Public Works InsNector. Cali for inspectlon prtor to covering. <br /> n� <br /> ' J'' <br /> ACKNOWLEDGEMENT Of CONDITIONS <br /> ���� �/� /�� The undersigned owner/.3pplicant hereby agrees to hcld and save harmless <br /> 1 the Ciry of Eveietl Irom..ny and all claims for damages,costs,expenses,or <br /> Approved for Constiuction Date causes of action Ihat ma y arise because ot installation and maintenance of <br /> ihe improvement or other i ight-of-way use hereto applied tor and furiher agrees <br /> ` to remove same upon notice from the Ciry and to replace aublic propeAy <br /> ,�'�%�y� '�7, s7 dama9eUthereby. <br /> t <br /> FINAL INSPECTION Date � /� <br /> Approv=d as Consiructed � Q�j/ q/D <br /> Spd� ! l /� <br /> Synature o Iicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIPJ 180 UA1'S OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE D�LIGENTIY PURSUED TO I <br /> COMPLE710N.THIS PERMIT MAY LE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS GURATION. ! <br /> � + <br />