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Apphrahon For Date -_- 9-24-99 ` <br /> PUBLIC WORKS PERMIT <br /> Pp <br /> PUBLIC WORKS DEPARTMENT Public Works Permit <br /> 3200 Cedar Street <br /> Everett. WA 98201 (425) 257-8810 Building Permit p _C9909-021 <br /> UN 1 4 20D11 <br /> TYPE C.R PRINT ONLY TO POSTING .— Public Works Fen$ <br /> AUC CONSTRUCTION PO BOX 12027 EVERETT 98206 360-651-2172 <br /> )w•ner Mailing Address City Zip Phone <br /> OWNER <br /> Ippkcanl Mailing Address City Zip Phone <br /> Describe Proposed Work —�1EW_RQM0 _ _ LU <br /> PROJECT ADDRESS (if known) -72- _5V--k F1 5V Lot 5 Woodl.ande_____ <br /> Attach fou, (4)copies plans for proposed work-Draw to scale and note the following I applicable: O <br /> •PropF ry Lines •Outline and dimensions of all existing and proposed structures o tie let •Existing and proposed utilities <br /> •Conte Ino of street •Indicate North •Show an,,proposed grading changes •S.,,,w measurements <br /> DO NOT WRITE BELOW HIS LINE Z <br /> PERMIT ',ONDITIONS: O <br /> 1. All cat s for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All wo'k shall be performed in accordance with this permit and current City of Everett Design and ■ <br /> Const,Nction Standards and Specifications. ra <br /> 3. Call L kation Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800.424-5555. //� <br /> 4. Keep city streets Clem at all times. C/f <br /> 5. Cu b gutter and sidewalk in the plat are new and a disnaged, any damage diereto shall be replaced at 0 <br /> the disciedon of the Public Works Impector. <br /> 6. Arry chmge in the d•ivewry cut must be approved by the PW Inspector, width at prop line linliterI to on <br /> existing apron width <br /> 7. Adjust water boxes to 91 at end of cwutnrcliom <br /> 8. Driveways shall be completely:tared before driving on than. <br /> 9. Rooftop drainage shall be disci!argedl the storm drainage strati provided at the fiord of the sot. <br /> / ACKNOWLEDGEMENT 02 CONDITIONS <br /> The undersigned ownouapplicant hereby agrees to hold and save ham!ess <br /> the City of Everett from any and all claims for damages.costo,expenses,or <br /> v. s uc iwr a causes of action that may arise because of installation and maintenance of the <br /> improvement or other right-of-way use hereto applied for and further agrees to <br /> remove ss,no upon notice hom th City and to replace public property dam. <br /> 3-/- e7a aged eroby. <br /> FINAL ed. --CTION Date + -,� /, r <br /> Approved a ConstructerAb <br /> gna ure pp n s o <br /> WORK AUT) NaIZED BY THIS PERMIT kIUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO EE DIUGE.NMY PURSUED TO <br /> OOMPLETIO T14IS PERMIT MAY BE CANCELLED BY TRE CITY UPON ANY STOPPAGE OF WORK ON THIS PHUECT OVER 90 DAYS DURAPDN. <br />