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1111111,1"For <br /> PUBLIC WORKS PERMIT Date 8/30/96 <br /> PUBLIC WORKS DEPARTMENT Public Works Permit 0 7l� <br /> 3200 Cedar Street <br /> Everett,WA 98201 2598810 <br /> ftBuilding Permit N_ 52744 <br /> TYPE OR PRINT ONLY TO POSTING 1 ° ' ' <br /> Public Works Fee E_zo— <br /> KAY_ ITESON 15418 291H AVE SF M11t r•nct:y gpn17 '{IA AVRt <br /> Owner Mailing Address <br /> City Zip Phone I/ <br /> Applicant Mailing Address <br /> City Zip Pi;—one---- <br /> Describe Proposed Work NEW HOUSE - BASIC 1108 LU� r <br /> LLW <br /> 1� <br /> 09/10/96 2008PdOOMN759 <br /> PROJECT ADDRESS(if known) 306 79TH PI SW ^ <br /> Attach lour(4)copies of plans for Proposed ��7y�� I7.. _—__—_ M <br /> p posed work-Draw to scale and note the following If applicable: PLED $77.00W <br /> 'Property Lines •Outline and dimensions of all existing and proposed structures on the lot •Existing and 04WAod uttl1ti460.00 O <br /> •Centerline of street •Indicate North •Show any proposed grading changes •Show measurements`SRCWG $4.50 <br /> DO NOT WRITE BELOW THIS LINE 800009088 ^ <br /> PERMIT CONDITIONS: WATER $105.00 <br /> 1. All calls for inspection shall be made 24 hours in advance-phone 259-8810. 1100030783 <br /> 2.All work shall be performed in accordance with this permit and current City of§Wtt DesgnpW O <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUM <br /> S rSDEtVB $196.00 <br /> I"I, �` :§g55. <br /> I. Keep city streets clean at all tunes. V♦ <br /> 5. Club guncr and sidewalk in the plal are new and undamaged, all damage thereto shall be replaced at Ill. O <br /> discrehou of the Public Works Inspector. <br /> 6. Any ella"ge un the driveway cul must be approved by the PW inspector, width al fine Until to <br /> existing apron width. prop <br /> 7. Adjust water boxes to grade at end of cons mcdon. <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 runoff 10 residential sidewalk drain (duu-cub drain). <br /> Lols 10-14 and 25 discharge roollop nmofTto storm drain stub provided to lot. <br /> y� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> C//�n p ///��' The undersigned awner'epplicant hereby agrees to hold and save harmless <br /> ��((fC� / ��� the City of Everett from any and all claims for damages.costs,expenses,or <br /> Approved for Consiructlon Date causes of action That may arise because of installation and maintenance of <br /> the Improvement or other dght-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace public property <br /> /�'U-((>Ci�— %�/1• f� damaged Ihe�� <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> *PERI <br /> I V Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DND THEREAFTER IS TO BE DILIGENT,Y PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPPROJECT OVER 90 DAYS DURATION. <br />