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AA� NOV a ti 1996 -- <br /> ADPlicetlon For P O ST I IY G _---- <br /> F PUBLIC WORKS PERMIT Date— - 314196 Grn �Q�j� ��G� <br /> `c PUBLIC WORKS DEPARTMENT Public Works Permit M • `�—<1�J.J—l� <br /> 643200 Cedar Street <br /> etL WA 98201 259-8810 Building Permit N 51027 <br /> Ell <br /> 88 �'. �'. $ 8 8 R Public Works Fee S 7�r — <br /> TYPE OR PRINT ONLYr ". o o g P. 01 !y�, <br /> In M „ N e, <br /> 8361 <br /> MAT1'ESON CONSTRUCTION °�54 "29TH AVE ^MI�1tCREEK 98012 316- <br /> Owner MnIIIn�Add s citys <br /> Zip—Phone <br /> �s <br /> KAY MATTESON s F <br /> Applicant Mallin Address City Zip Phone <br /> Describe Froposed Work NEW HOUSE - BASIC 1109 _- YNi„ r <br /> - <br /> PROJECT ADDRESS(i.known) <br /> 216 79TH PL SW LOT 3, HERITAGE EST. ca <br /> Attach four(4)copies of plans for proposed work-Uraw,to scale and note the following If applicable: O <br /> •Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities <br /> •Centerline of street •Indicate North •Show any proposed grading char gns "Show measurements <br /> DO NOT WRITE BELOW THIS LINE z <br /> PERMIT CONDITIONS: <br /> 1.All calls for Inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2.All work shall be performed in accordance with this permit and current City-f Everett Design and <br /> Construction Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. ''AA <br /> V✓ <br /> 4. Keep city streets clean at all times. <br /> 5. Curb gutter and sidewalk in the plat are now and undamaged, any damage therat0 <br /> shall be replaced at the discretion of the Public Works Inspector. <br /> 6. Any change in the driveway cut must be approved by the Public Works Inspector, <br /> width at prop line limited to existing apron width <br /> 7. Adjust water boxes to grade at and of construction. <br /> H. Driveways shall be completely cured before driving on them. <br /> 9. 12ooftop drainage sltnll be tigttlined to the thru-curb drain or storm drainage stub <br /> provided at each Int. CRIT for inspection prior to covering. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> fly <br /> �ow The undersigned owner applicant hereby (dress to hold and save harmless <br /> r//"/ (/ the City of Everett from any and all claims for damages,costs,expenses,or <br /> causes of action that may a-lse because of Installation and maintenance of <br /> App stn Date ved for CoicuorL theimprovement orother right-of-way use hereto applied for and further agrees <br /> 't, to remove sama up,9n notice from the City and to replace public property <br /> l6e' / //-/) damaged thereby <br /> !Lf > <br /> FINAL INSPECTION Oate <br /> Approved as Constructed Iii <br /> SI n to Iii Date <br /> WORK R IS TO BE <br /> OMPLETION.RTH THIS PERMIT MAY BE CANCELLED BAY THE CITYTED IN 180 DAYS OF DATE PERMIT IS ISSUED AND UPON ANY STOPPAGE OF WORK ON THIS PROJECT VER 90 DAYS DUDILIGENTLY PURSUED TO <br /> BY THIS PERMIT MUST BE RATION <br />