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�}�, Application For � _ �~ ��_� / <br /> �i��' PUE3LIC WORKS P�RMIT �a�e 9/30/96 � <br /> ��„ <br /> NUBLIC WOHKS DENARTMENT Public Works Permit k ����.J <br /> 3200 Cedar Street <br /> Everett,W�98201 259-8810 <br /> Buildinp Permit H 570'R <br /> TYPE OR PRINT ONLY b� �'OSTI N G AUG 0 4 1997 �, <br /> Public Works Fee$ � <br /> MrTCO HOMES ILC 18917 RnTNgLi FVFRFTT HWY ROTHFT* qgp�� q�F p��� <br /> Owner Mailing Atldress City Zip Phone ��\ <br /> ` J j <br /> _ r.xFa r•xT � �`� <br /> Applicant Mailing Address City Zip Phone � <br /> Describe ' ioposed Work NEW HOUSE — RASIC 1198 ___ � <br /> _ � <br /> � <br /> PROJECT ADDRESS (if known) _S�.Z],.13TH nVF [d � <br /> Atlach four(4)copies of plans(or proposed work-Draw'o scale and note ihe following it applicable: 10/09/96 2�3�PM 1]pOq{IB1_¢� �;-:�: <br /> 'Property Lines •Outline antl dimensions of all existing and proposed stmctures on the lot •Exisling and propose�utilities O <br /> •Centerline of street 'Indicate Norih •Show any proposed grading changes •Show measurements �OQOS'076 <br /> _ RL6G iROz-�t � <br /> DO NOT WRITE BELOW THIS LINE FLEG 891.00 <br /> PERMITCONDITIONS: HFCH Sbf?,pJ � <br /> 1. All calls for inspectin�,shall be made 24 hours in advance- phone 259-8810. SRCHF.G 34.;p <br /> 2.All work shall be,erformed in accordance with this permit and current City of�,q�tC Desig�q�J O <br /> Construction Standards and Specifications. �Q0009:44 <br /> 3. Call Location Undergrour�d Service 48 hrs. before you dig. TOLL FREE NUM�(#p-800y{�g_g¢55. L <br /> k100G��636 1"� <br /> ? 4.s2p city atraets olean at all :imes. SEcEF �7Q.CD � <br /> b t`urh �itter and sida�va(u in the plat Rr�+ neiv and undama SJJ�� n g�g��� theret � <br /> �Fl�EIR YStI�!�P� <br /> ahali be repl�ced at Lfie discretiou oF the Pubiic Work� Inspectoa � <br /> 6. 9ng change iu the drive�vay cut must he appro��ed by the Publlc Works inspector. <br /> width at prop 3ine limi'ted to ertieting epron width <br /> 7, Adjust tvater hoxes to g:Rde at end of conatraction. � <br /> 8. Driveways shal! be comptetely cured �efure driving on theci�.. <br /> 9. Rooftcp drainage shall he diecharged to tiie lots i;irltra.tion trench as per ttio city's <br /> "Residential Roof Downspout 3yRtem" deteil and ae per the location informetion nn <br /> ihe lot'e site plaii. tlny change In the in�ltration treacli must be appro�>ed by tha <br /> P!iblir, sl�rRrkR InRpactoc C�!! for inspecti�n pri�r ±o envezing. <br /> � <br /> �y/��� / �, / ACKNOWLEDGEMENT OF CONDITIONS <br /> �' '! /vr-v /��f7Y� lhe undersianed owneda�licant hereby agrees to hold and save harmless <br /> � � � the City of Evered from an and all claims br damages,costs,expenses,or <br /> Apprdved for C siructio p e i causes of action that may arise 6ecause of installation and maintenance of <br /> i the improvement or other righl-of-way use hereto applied for and further agrees <br /> to remove same upon notice from th= City and to replace public pmperty <br /> � . ,� .���� �! �3 � i�7 damaged ihereby. <br /> FIN INSPECTI Date <br /> Ap;�roved as Constmcted <br /> Si�reofAp nt / Da� <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 7B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfEP IS TO BE DILIGENTLY Pl'R.",i;ED T(' <br /> COMPLEfION.THIS PERMIT MAY BE CANCEILED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />