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H-2-zs� ./ <br /> � APPlicalion For <br /> PUf3LIC 1NORKS PERMIT Date 9/30/96 <br /> PUBLIC WORKS DEPAtiTMENT Public Works Permit p _�� <br /> 3200 Cedar Street �-- <br /> Everett,WA 98201 253-8810 <br /> � � Building Permit k 5��q <br /> �� POSTI.' � auc o 4 fss, <br /> TYPE OR PRINT ONLY Pub�ic Works Fee$ _� <br /> METCO HOPfES LLC i8913 BOTHF.LL EVGRETT HWY BOTHELL 98012 316-0261 <br /> Owner Mailirg Address City 2ip Phone / � <br /> ' , 1 <br /> I �J <br /> CHER EX^'. 31 � <br /> Applicart Mailing Address City Zip phone <br /> Describe Proposed Work NEW HOUSF — BASIC 1201 <br /> � <br /> � <br /> �np� <br /> PROJECT ADDRESS (if known) �S t� 1 7TN avF w i nT a _ 10/a9/96 2:35FM OOOAN814 °�' ' <br /> Atlach fnar(4)copies of plan;for proposed work-Draw to scale anC note the following if applicable: � � <br /> •Pmpedy Lir�es •Outl:ne and dimensions of all existing and proposed slmctures on ihe bl •Existing antl p�000 d 07�9, � <br /> •Centerline o!slreet •Indicate North •Show any proposed grading changes •Show measurements�� �63.90 � � <br /> Fl£G 44i.00 , <br /> DJ NOT WRITE DELOW THIS LINE <br /> ,i <br /> PERMIT CONDITiONS: SFCHRG 84.50 '� <br /> 1. All calls for inspection shall be msde 24 hours in advance - phone 259-8810. DF.IVWV 520.00 J <br /> 2. All work shall be performed in accordance with this permit and current City of�Q���siqn and <br /> Constru;,tion Standards and Specifications. WRT��i ��iUS.OQ o <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUM�"R�-424-5555. � <br /> SEWE�i �7Q.00 <br /> S'I�DEV 448�.OD //� <br /> 4. F�ea �it oCreats claan ai all ti►naa.. CHECY, �:596.40 V� <br /> I� Y O <br /> 5, Curb gtitter and sidntvalk in the p:at ar� reew anc: �mdameged, any damage theret <br /> e3ia11 be replaced at the discretiott of tl+_e PuUlic Worke Inepector. � <br /> 6. +�ny change in the drivewey cnt must be xpproved by the Public SUorks Inepector <br /> width nt prop line limited to e�cistin� agron width <br /> 7. Adjust rvater boxes to �ade at and of conatruction. . <br /> K. Drivetvnys shall be eompletely ceired b afore driving on tlaem. <br /> 9. Rooftop draiczagQ ahall be discliarged to the lots intiltration trench as per tho city's <br /> "ResidentiAl Rool' llowne.pouk '3yetera" deEail and as per the location information on <br /> tdie lot's site: �:lan. :lny change iu ttie it�Fltration treneu ri�ust be app�ovec9 by the <br /> ?uhlio Worlcs [asrertor. C�ll fos inspection prior to covering. <br /> � <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> � )i,/�j�/� _ /� � �� The undersigned ownedapplicani hereby agrees to hold and save narmless <br /> �`����� � ihe City of Everett from any and all claims for damages,cos�s,expenses,or <br /> � causes of action that ma arise because of installation and maintenance of <br /> Approved� onstr on Dale Y <br /> the improverr,ent or other righ!-o(-way use hereto applied for and further agrees <br /> . �� �o remove same upon notice from the Ciry and to replace public property <br /> / � <br /> � l'-�_ �.� 3. .�-, damagedlhereby. <br /> FINAL INSP TION Date q <br /> Approved as Constructed ��Z'�'��-�-�1 � ��/f/l <br /> Signature o ant � <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfFR IS TO BE�ILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY C3E CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 9�DAYS DURATION. <br />� <br />