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tlN'• F18f10 <br />TO POSTING . -- <br />Application For <br />4�ff PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everelt, WA 98201 (425) 257-8810 <br />TYPE OR PRINT ONLY <br />Date 4-9-99----- -dA_ <br />Public Works Permit M " 19/001 <br />Building Permit M 62135 <br />Public Works Fee $ 20 <br />Just Rite Const PO Box 2043 Everett 98203 425-308-3179 <br />Owner Mailing Address City Zip Phone <br />Owner — <br />Applicant Mailing Address City Zip Phor- <br />Describe Proposed Work new house - Basic 2027 - W <br />OPINION <br />-- M <br />PROJECT ADDRESS (if known) 1631 63rd St SE Lot 2 SP #10-98 �++ <br />O <br />Attach four (4) copies plans for proposed work - Draw to bcale and note the following It applicable: <br />• Property Lines • Outline and dimensions of all existing and proposed structures on the lot • Existing and proposed utilities <br />• Centerfine of street • Indicate North • Show any proposed grading changes • .,tow measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: O <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257.8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications.. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE N4MBER 1 00 4 555. <br />1-Im -o rvs should be dcQigncd mid conelructed to prevent the cnilectton ofet5rotu watee Run <br />Cn <br />should sheet flow from these areas into gravel tilled trenches which we located along one of r1� <br />.ides of each driveway and are sized to providenin storage for at least the 10yr 24hr Boevent 0 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />13 9 The undersigned ownertapplicant hereby agrees to hold and save harmless <br />the City of worod from any and all claims for damages, costs, expenses, or <br />causes of action that may arse because of installation and maintenance of the <br />Approted for rue l Date improvemeN or Cher rght-obway use hereto applied for and further agrees to <br />remove same pon notice from the City and to replace public property dam - <br />FINAL INSPECTION Date 5- Ott- 99 <br />Approved as Constructed <br />s uru of ApplicantDate <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 19D DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORI(ON THIS PROJECT OVER 90 DAYS DURATION. <br />