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YLL. <br /> L Appfi alion For <br /> PUBLICS WORKS PERMIT Data 9-19-9966 <br /> 4P0ffSrT1NGW--L?�P3200 sarrSttrreet MENTPubl c wb ke Parrett Ntt,WA 98201 Ce259-8810 Building Permit N 52921 <br /> TYPE OR PRINT ONLY r g 8 8 8 8 8 <br /> m yqlp.o. Public Works Fee$ <br /> + __ <br /> � <br /> Kay Matteson 15418 99th Ave SE =1 *reelt r018012 316-8361 <br /> Owner Malan�.�drlr r� - z EZ <br /> FM Zip Phone / \ <br /> O 061 L1 F �W g� �i <br /> Owner l� 3r A <br /> Applicant Mallin ddress City Zip Phone <br /> Describe Proposed Work new house <br /> W <br /> - _ F- <br /> PROJECT ADDRESS(if known) 305 79th P1 SW Lot 16 Wtiritalle Estates /V♦ <br /> Attach four(4)copies of plans for proposed work-Draw to scale and note the following if applicable: W <br /> •Property Lines 'Outlire and dimensions of all existing and proposed structures on the lot •Existing and proposed utilities O <br /> •Centerline of street •Ind;cate North •Show any proposed grading changes 'Show measurements <br /> PERMIT CONDITIONS: DO NOT WRITE BELOW THIS LINE <br /> 1. All calls for inspection shall be made 24 hours in advance-phone 259-8810. <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and O <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 firs. before you dig. TOLL FREE NUMBER 1-800-424-6585. <br /> 4. Keep city streets clean at all limes. <br /> 5. Culb gutter mid sidewalk in the plat Te clew wid undamaged. wry damage ftterelo idleM bd Ieplaced 01 Ib O <br /> discretion of the Public Works Insireclor, 0 <br /> 6. Any change in file driveway cut must be approved by (lie PW Inspector. width at prop lino hnate(l Ip <br /> existing apron widdl. <br /> t ' Adjust water boxes to grade at end of construction. <br /> 8. Driveways shall be completely clued before driving on them. <br /> 9• Rooftop drainage shall be discharged: <br /> Lots 2.9 and 15.23 discharge rooftop ntnoll'to residenfild sidewalk drain (Ihnt-curb drain). <br /> Lots 10.14 laid 25 dischwge 100HOP►wroff to slonu drain stub provided to lot. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> L flz The undersigned owner/applicant hereby agrees to hold and save harmless <br /> __ at & w4e, the City of Everett from any and all claims for damages,costs,expenses,or <br /> Approved for Construction Dae causes of action that may arise because of installation and maintenance ut <br /> rhe Improvement or other right-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace public property <br /> _ 2 •L/ •'� damaged thereby. <br /> FI. SPECTION Date <br /> Approved as Corstmcted <br /> Sig re o ant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT LED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />