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4nnOca'.ion For <br />OL PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everetl, WA 98201 (425) 257-8810 <br />TYPE OR PRINT ONLY TO POSTING APR a r 2001 <br />Date 4-8-99 <br />Public Works Permit a �O ce <br />Building Permit t1—621-U— _ <br />Public Works Fee $ _010 <br />PDB Enterprises 3231 107th St SE Everett 98208 425-239-7726 <br />Owner Mailing Address City Zip Phone <br />Owner <br />Applicant Mailing Address City Zip <br />Describe Proposed Work new house — Basic 2021 <br />PROJECTADD9ESS (if known, <br />Attach four (4) copies plans for proposed work - Draw to scale and note the following If appliable: <br />• Poperty Lines • Outline and dimensions of all existing and proposed structures on the lot • Existing and proposed utilities <br />• Contedine of street • Indicate North • Show any prorr:sed grading changes • Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All calls for Inspection shell be made 24 hours In advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit an,. current City of Everett Design and <br />Construction Standards and Specifications.. <br />3. Cell Loc do❑ Underground ggervice 48 hrs. before you dig. TOLL FREE NUMBER 1-BOD-424-5555. <br />1 rivelWBv siloulI he designed and con tfveted to prevent tite collection of eloml water. Run <br />should sheet flowfrom these areas into gravel filled trenches which are located along one o <br />sides of the driveway and are sized to provide storage for the infiltration of at least the vole <br />the 10yr, 24hrstom event. <br />4114 � <br />AppiiU yor Uale_ <br />FINAL, SPECTION Date <br />Approved as Constructed <br />W <br />Y/ <br />Im <br />O <br />n <br />z <br />O <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownorlapplicant hereby agrees to hold am' save harmless <br />the City of Everett from any and all claims for damages, costs, expenses. or <br />causes of action that may adse because of installation and maintenance of the <br />rovemenl or oth - hl-o -way use hereto applied for and further agrees to <br />emo same u r from the City and to replace public pruperty dam. <br />ledIher <br />gn. oo ppm.n /ae <br />WORK ALM IORIZED BY THIS: PERMIT MUST BE STARTED WITHIN 100 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION THIS PERMIT MAY BF CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVE.i 90 DAYS DURATION. <br />