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� �oni��-o�,Fo, � - - - / <br /> PUBLIC WORKS PERMIT ��1e _4 3-96 _____ <br /> �._r � S �7BLIC WOR 'DEPARTMENT Public Warks Permit� �Ill��"T�i_ <br /> i0 POSTING � , 3ZI��arStreet — <br /> Everetl.WA 9 1 259-0810 Bullding Permit N �1324 � <br /> � � � � � 88 � 8 g sg 8 � � ___ __ <br /> TYPE OR PRINT ONLV � � � p � p g � � �u�i�s Fee S (.,� _ 1 <br /> N .p [.� p, p <br /> M M M ti M I M ry <br /> Moe Homes 13314 47th�1 ]L Mukilteo �7 7?3-3�I � <br /> Owne� Malling Address ��ti� � � phone <br /> � �� � � � � <br /> Qwner � <br /> A ppllcent Melling Atldress City Zip Phone <br /> Describe Proposed N'ork __ ew house <br /> - --- W <br /> - -- _- !- <br /> - <br /> - _ _ � <br /> PROJECTADDRESS(ifknown) 632 IO1th Pl SE Lot 13 Kethy'e Addn <br /> Atlech lour(4)coplas ol plans for proposed work-Orew to scale end note Ihn lollo�.ving il eppliceblr. � <br /> �Property Linas �Outline end dimensiona of nll existing entl proposed structuras on the let •EMisling entl propoeed utililles O <br /> �Centarll�a ol nlraet •Indicete Norlh �Show eny p�opoeed g�ading chonges •Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � ' <br /> 1.All calls for Inspectior�shall be made 24 hours In advance- phone 259-8810. O <br /> 2. All�..�rk shall be peAormed in accordnnce with this permlt end current City ol Eve�att Design and <br /> Constructlon Standards and Specitications. <br /> 3. Cnll Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424-6568. � <br /> i Kcep c�h� sheels cle�m et ell fimrs � <br /> 5. Cw� yullci �md ,idewnik in Ihe plal aic uew nnJ uuJ:U118KC1I. llll) diuuagc ILeielu .hnll be replaad »I Ih O <br /> discrelion o(Ihc Public �' �1.c �4pector. a <br /> M1 Am chnn�e in the dmcu in must be epproved by Hie PW Inspector, width er prop lino limited to <br /> cns�u�g apron widlh. <br /> ' Adju�t water bnxes fo [7adc s� end of con�tnicfion. <br /> R Dnveways sholl he complelely cured btfore drviti� on Oiem <br /> � Rooflop drainaRe vhall be dis:!u�rged: <br /> • f0 (Ilf SIi['s ctorm drmn .rystem (private or pubG�) <br /> • Io a�esiJential ruol'Jowuspuul �y,lem desi�aird pci �rdwu �1•9 i of Ihe citv �I�md,ud� <br /> • onro splash blocks <br /> fhe method selected will be suhject lo Public R'n�s Insprcior epprovnl <br /> ACKNOWLEDiiEMEN1 OP CONDITIONS <br /> C The undersignerl owneNnppllcent hereby agrees lo hold end snve harmless <br /> t_--� /`� �he Clty ol Everett Irom eny a.id all clelms for demagas,eosta.eepensos,or <br /> App ( r Constructlon cnuses of ecllon that may ense because ul Inslalletion and malnlenence ol <br /> ae Ihelmprovemanlorotherdgh4ol-wayusehereroapplletlfwendfuhhe�agrees <br /> � �/� to r9move seme upon notice hom Ihe Clty end to raplece publlc propehy <br /> � -p / damegedtheraby. <br /> L INSPEC N Date E� <br /> App�oved as Consvuctsd ` i//�� <br /> /v[ <br /> S gnetura of Appllcent Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1B0 DAVS OF DATF.PERMIT IS ISSUED AND THERCAFfER IS TO PE OILIOENTLV PUHSUED TO <br /> COMPLETION.THIS PERMI7 MAV BE CANCELLED BV THE CI�!UPON ANV STOPPAOE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br />