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PUBLIC WORAppbut,oKS P�gWG -- <br /> ne,e 3/4/96 Q <br /> PUBLIC WORKS DEPARTML f Public Works Permit• <br /> 3200 Cedar Street <br /> Everett,WA 98201 259-80' <br /> � Bulldlrg Permits_ 51022 <br /> TYPE OR PRINT ONLY r/ S c g 1. Public Works Fee$P r"11 <br /> �^ <br /> MATTESON CONSTRUCTION 15418 2;TH ' VE SE MI CTEEK" !4012 316-8361 <br /> Owner Milling Address n, 0i Zip Phone . <br /> 0 <br /> KAY MATTESON _ M ' !N Yrs �S ft � 6N! <br /> Applicant Melling Address City ZIP Phone <br /> Describe Proposed Work NEW HOUSE - BASIC 1109 Forn5 <br /> - - --- <br /> PROJECT ADDRESS(if known) 312 79TH PL SW LOT 8, HERITAGE EST <br /> Attach four(4)copies of plans for proposed work-Draw to ucale and note the following If applicable: caO <br /> "'Property Unes 'Outline and dimensions of all exist ng and proposed structures on the lot •Existing and proposed utilities <br /> eCentedlne of street *Indicate North •Show any proposed grading changes •Show measurements <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1. All calls for inspection shall be made 24 hours In advance- phone 259.8810. z <br /> 2. All work shall be performed In accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5665. H <br /> I. Keep city streets clean at all limea. W <br /> 5. Curb gutter and sidewalk in the pint are now and undamaged, any damage theretO <br /> shall be replaced at the discret-a of the Public Works Inspector. a <br /> 6. Any change in the drivesvav cut must be approved by the Public Works Inspector, <br /> kridth at prop line limited to existing apron width <br /> 7. Adjust water boxes to grade at end of ;;onstruction. <br /> B. Driveways shall be completely cured before driving on them. <br /> 9. Rooftop drainage shall be tiglstliued to the thru-curb drain or storm drainage stub <br /> provider] of each lot. Cnil for inspersion l;rior to covering. <br /> JJ ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant a hereby agrees to hold and save harmless <br /> the City of Everett from any and all claims for damages,costs,expenses,or <br /> Approved for Construction Date causes of action that may arise because of installation and maintenance of <br /> the Improvement or other right-of-way use hereto applied for and further agrees <br /> to remove sam upon notice from the City and to replace public property <br /> damaged in by. <br /> FINAL INSPECTION Date Z _ <br /> Approved as Constructed `� <br /> ow ,3 - L <br /> til natu Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PER IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION.THIS PEIMIT MAYBE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />