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Application For � <br /> �w� PUBLIG WORKS PERMlT Date z-za-9� <br /> PUBLIC WORf<S DEPARTMENT Public Works Pertnit N ���� <br /> 3200 Cedar Street <br /> Everett,WA 98201 zss-eeia 7uildin9 Permit# 54364 � <br /> TO POSTIhG DEC � 52� /��, <br /> T"PE OR PRIPlT ONL'! Public Wnrks Fee 5_IiCJ _ <br /> Metco Homes LLC 18913 IIothell Evt Hwy Bot ' ell 98012 316-0261 <br /> Owner Nailing Address City Zip Phone <br /> � <br /> Owner <br /> Applicant Mailing Addrec� City Zip Phone <br /> Describe Proposed Work _ new house "' ' ' <br /> �` <br /> ;D�=�4'E�+., .�_ . _ L_ <br /> � <br /> _ . ' - ' V♦ <br /> PROJECT ADDRESS (if Rnown) 5527 13 th �ve W �� y � � <br /> , � ,� - <br /> Attach four(4)copies of plans for proposed work-Draw to scale and note the following if applicable: �� 3�or•r� <br /> i •Pmperty Lines •Outline and dimensions of all existing and proposed structures on�he lot •Ezisting and prOpt7SBU utilities•?� ._, � <br /> •Ce�itedine of s1reFt •Indicate North •Show a�y proposed gradisg changes •Show measurements ;;pi]pT).]?_? � <br /> DO NOT WRITE BELOVJ THIS LI�E ,;';'��F'.� �_,L' ,'? <br /> PI:RMIT CONDITIONS: ,�_,_�, �—,:, ; � <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-d8?0. ' � O <br /> 2.All work shall be performed in accordance with this permit and current City of�verett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 4& hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. ` <br /> r <br /> •'�. F{eep cit,y stteets cle an at atf times. � <br /> 5. Curb gutter a�d aidesvalk in the plat are i.ew and uutdameged, any damage theret O <br /> shai� be replacad at the discretion of the Pubiic Works Inspectar. � <br />'� 6. An.y change in the driveway cut must be approved by the Pubiic Works (napector, <br /> width ak prap line limited to exieiing apron width <br /> 7. Aci�uat �taa�er boxes ta grade at end o?'conatruction. <br /> 8. Drivewaya chall be com�xletely cured before driving on them. <br /> 9. Rnoftop drainagF shail Ue discherged to the lots infittmtion tsanch as per the city's <br /> "Residential Roof Do�vnspout F,�stem" detail and ae per the location informat'ron on <br /> the lot's slte plan. My change in the infiltration trench muat be approved by the <br /> Publie Works (nspector. Catl Por inepection ptior to eo�ering. <br /> n <br /> �� <br /> ' 1 � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � �� � The undersigned owner/applicant hereby agrees to hold and save harmkss <br /> �� ihe City of Everetl from any and all claims for damages,custs,expenses,or <br /> Approved for nstructio . Date causes ot action that may arise becau=e o(insiallation �nd maintenance of <br /> ihe improvement or othar�iqh4of-way use hereto applied for and furlher agiees <br /> '� / lo remove same upon notice from the City znd to replace public property <br /> ��'��- (p '.a2 T—I^� damagedthereby. <br /> FINAL IN PECTION Date <br /> Approved as Consiructed � Z � <br /> l <br /> Signature of Aq I' nt Qal <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1 BO Ga,YS OF DATE PERMIT IS ISSUED AND THEREAFl" IS TO BE DILIGENTLY PURSUED TO <br /> COMPL[fION.THIS PERMIT MAY BE CANCELLED BY THE CI7Y UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />