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Date B-24-95 <br />Application For <br />PUBLIC WORKS <br />Print or Type Only <br />!'OSTING JUN 19 1996 <br />PERMIj- <br />a ggg�g8 <br />MCI 15418 29th Ave SE_Mil 1 Creek WA .. <br />er A4al II;, - - Gress <br />I <br />PupLp Wpr�r 9mm�1 • a7 <br />a'd0 Dept • 49303 <br />-;,7 WOr4gF00 <br />tOrgl {p! S <br />lHf APp� {wy Pgid a <br />8 q,� S zGy� <br />M <br />rr� rY, Ci Phone - - <br />.tames S Kay Matteson <br />Applicant --- Malhnp Address Zip Pho�'— <br />Describe Proposed Work new house <br />Protect Address (if knownl 25. 73rd St SW ` Lot_8 Ridge Park_ _ <br />Attach lour (4) copies of plans for proposed work - Dray. to Fr..1I4.rnd note Ihtq lollownlg as applicablb: <br />• Property Lines <br />• Outline and dimensions of all existingand • C dlealene of street <br />• Indicate North <br />proposed structures the lot • Show any proposed grading changes <br />• Existing and proposedd etibhn9 • Show measurements M <br />DO NOT WRITE BELOW TH15 LINE was <br />PERMIT CONDITIONS O <br />1. All calls for Inspection shall be made 24 hra. in advance • phone 259.8810. <br />{ 2. All work shall be performed In accordance with [his permit and current Clly of Everett Design and Construction M1 <br />Standards and Specifications. <br />3. Call Location Underground Service 48 his. before you dig. TOLL FREE NUMBER 1.800-424.5555. <br />t. Install rock construction entrance behind driveway as per city standard #208 and erosion control as directed b Public Works Inspector. <br />5. Keep city streets cican at all times. 6 <br />6. Grub guRer and sidewalk in the plat arc new and tmdamaged, any damage thrlrto shall be replaced at the discietion of the Public Works Inspector, r� <br />'. Any change m the driveway cut must be approved by the PW Inspector, width at prop titre limited to existing Iff/A apron width. 1/♦ <br />8. Club face drains or other sionn drain stubs have been provided to each lot ill the plat for the colulection of <br />rooftop downspouts and footing drains, <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm. <br />I less the City of Everett from any and all claims for damages.. costs. <br />1) /�/f n/ I ovpt,enses nr causes of action that may arise because of installation <br />� �(� and mainte lance n, ,-mprovement or other right-of-way Usti hurelo <br />Approved for C nstruclion �Nlnrl ter and further agrees to remove same upon notice from the <br />i Cdy vtd to reply public Property damaged thereby. <br />�--- 3 yf •iG <br />FINAL INSPECTION Date ✓�J�Cy/��� <br />Approved as Construclito Si a re hcant <br />Data <br />PUBLIC WORKS DEPARTMENT WORK IZED BY THIS PERMIT MUST BE STARTED WITHIN <br />3200 Cedar Street 190 DA S F DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />CL Everett WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />Phone: 269.6810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PRO.IECT OVER 90 DAYS DURATION. <br />