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Date 8-24-95 TO POSTING ?_z�__rrc_ <br />Application For <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />t) <br />m �o'yn"eCivo �' <br />M <br />PPbl2 Wo.q Perm, . _ S <br />Bldg Dept • 49299 y3q <br />P,blrt Worxa Fee <br />Total rep li <br />lets APPI Fee Pm, 8 <br />`o .r <br />MCI 15418 29th Ave SE Mill Creek WA <br />98012 <br />316-8361 a <br />M .4 <br />O,v n,l naadmtl Andress <br />$ a is ip; <br />Iry Phone <br />James 6 Kay Matteson <br />fix' to <br />Applicant - - - Malhng Address <br />CityZip <br />Phone <br />Describe Proposed Work _ net, house <br />Protect Address (if known) 30 73rd St SW Lot 14 Ridge Park Ft: <br />Attach to(4) copies of plans lot proposed work - Draw to scale and note the following Be applicable: <br />• Property Lines <br />• Gof street I _ <br />• Outline and dimensions of all existing and • Indicatedicale North ,fII♦7 <br />Proposed structures on the lot • Show any proposed grading chancw <br />• Existing and proposed utilities • Show measurements <br />DO NOT WRITE. BELOW IHIS LINE <br />PERMIT CONDITIONS O <br />1. All calls for Inspection shall be made 24 hrs. in advance - phone 259.8810, <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. C Fps y o� �y g �i 1 gp <br />3tCaIIlLocatllpfrCK 1�O11EEILCd011 ellllal CC UCIWIUBUl1VtW&)T �CfnCll)' NI;IOUBE(I ii?OS �,1� a o5ou Control as directed It1 <br />Public Works Inspector. Z <br />5. Keep city streets clean al all tunes. O <br />6. Curb gutter and sidewalk in the plat arc new and undamaged, aW damage thereto shall be replaced at the <br />discretion of the Public Works Inspector. <br />Any change in the driveway cut must be approved by the PW Inspector, width at prop tine limited to l <br />apron widdt. <br />8. Curb face drains or older storm trail stubs have been provided to cacti lot in flu plat for the conn&don of <br />rooftop downspouts and footing drains. O <br />a <br />ME <br />Well <br />ll <br />Apprbvedlfor Construction Dalr. <br />-,J 01, •YL <br />FINAL INSPECTION Date <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm <br />less the City of Everett from any and all claims for damages. costs <br />expenses. or causes of action that may arise because of Installation <br />and maintenance of the improvement or other right-of-way use herelo <br />applied for and further agrees to remove same upon notice from the <br />City and 19 replace public property damaged thereby. <br />.rib. �� VWlcant Dale <br />PUBLIC WORKS DEPARTMENT WOR UT ORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />Everett WA 88201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />Phone: 259.8810 I CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />