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Y ) <br /> 1 12-95 t� �OSt�NG I✓��� LbDate 0 46796 <br /> Application ForPUBLIC WORKwo <br /> S P"MIT e Works F°s Fes Ford <br /> a a <br /> S p 0 0 rn S iS S ` <br /> Print or Type Only c t i <br /> iv <br /> Steven liartlow Const 3711 122nd P1 SE�Everett 98208 37 079 phone <br /> Owner Mailing Address City�lc <br /> do FuS � S�i �S � SI � tTn <br /> OwnerCay Zip Phone <br /> Applicant MaiLng Address <br /> Describe Proposed Work nes• hye— - <br /> W <br /> 1222 59th P1 SW __ Lot 51 Merrill Crk Gardens <br /> Illinois <br /> Project Address(if known) <br /> k•Draw to scale and note <br /> Attach lour 14)copies of plans for proposed worthe Clenlerapplicable: <br /> Centerline of street <br /> • Property Lines • Indicate North <br /> is Outline and dimensions of all existing and a show any proposed grading changes <br /> proposed idructures on the lot 0 Show measurements M <br /> • Existing and proposed utilities W <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be made 24 tits.In advance•phone 259.8810. <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design end Construction <br /> 3Standards and Specifications. q <br /> LCallLo ittiorep a{wdeRroy cfer a�alPhie.bforeyoudig.TOLLFREENUMBER1.800.424.658 . <br /> S. (sub gutter and sidewalk un the plat are new and undamaged, jury damage thereto shall TTICS. be replaced at th4 O <br /> discretion of lite Public Works hlspector.eway cut must be apprO1,.� op <br /> 6 fiat led to exi�llllg Hilchange ill tile l Oil width. DilvcwaY clay to l er giudualh' Ill the Public a C�gavage door q inspector.ell C p(for anIllinoise <br /> approved 3 car garage). � <br /> Adjust water boxes to grade at end of can"true"on. (in/ <br /> 8. Driveways shall be comple(cly clued berme dining on 1114111. O <br /> g. Rooftop drainage shall be discharged to lite lots infiltration trench as per the"Residential Roof Downspoul 0 <br /> System" detail(attached) and as per Ute sizing and location infonnation on Ute lot's site plan. A <br /> preconslroction rncethng utlist be scheduled with Alam Locke (388.9655 mob. or 259.8810 office) prior to <br /> htstallafinn ofthe infiltration system At. change in the infiltration trench must be approved by the Public <br /> Works hlspeclm. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> undersignedThe owner/applicant <br /> d and save harm. <br /> less the Cityn <br /> of Everett of any e d all claims for <br /> damages, costs, <br /> expensest n nce of of action that may ether because of installationhreto <br /> and maintenance of the improvement or other right•of•wey use hereto <br /> r agrees <br /> emove same <br /> Date <br /> applied City and loo eplacertheblic propertytdamaged hereby. notice from the <br /> Appro ed lot Construction <br /> Late <br /> FINAL INSPECTION S u o lean <br /> Approved as Constructed WORK AUTH RI2ED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLIC WORKS DEPARTMENT i8of DAYS OF REAFTER IS TO <br /> BE DIILIGENTLYDPURSUED TOATE PERMIT ICOMPLETION..THIS AND EPERMIT MAY E <br /> Ever Cedar Street <br /> Everett, de 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:289.8810 PROJECT OVER 90 DAYS DURATION. <br />