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i;uZ - 2 - 9s / <br /> Date 7/27/ p Pubim Mika Pamira <br /> „27/'J � ,��TING h - Z�--°--- aidt)Derr .__-4�i1 -AM <br /> — <br /> Application For <br /> PUBLIC WORKS PERMIT P°urmrnv"`°° s <br /> Less Arul Fee Paid S <br /> r' <br /> AlfieMe s -- <br /> Print or Type Only - <br /> Benchmark Guild Carp 6947 :oat Crk Pr+ Newcastle 80 i41-2737 <br /> Owner • ;,]less ". .v v �.'i =a �j Pit:�(p�1 ,Cli Pn-..,.r F! 1— n 7 TIS <br /> LI C) <br /> Lee Dean — <br /> Applicant ng Address ON Zip Phone <br /> New house - Basic 1100 <br /> Describe Proposed Work _____-- ------ - <br /> La <br /> Project Address(if known! ' 8� 'rPC._S_u/__--_ _.._ FM <br /> Attach four 141 copies of plans lot proposed work - Draw to crate and note the following as apphraLie. <br /> • Property Lines • Conlerline of street <br /> • Outline and dimensions of all existing and • Indicate North V <br /> proposed structures on the lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements M <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for Inspection shell be made 24 hra.In advance-phone 259.8810. sl <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 him before you dig.TOLL FREE NUMBER 1-800.424.5555. �1 <br /> t, beep city streets cleall ill a0(hikes. f/r:� <br /> 5. Curb gutter and sidewalk in the plat are new mid undamaged, any damage thereto shall be replaced at Ih: O <br /> discretion of the Public Works Inspector. <br /> 6. Driveway must be constructed to prevent driveway mrafT flour entering the street. <br /> Q lltuiireealael Airy change in the driveway ctd must be approved by die PW Inspector, width of pl op l� <br /> bile limited to existing apron width. r'w <br /> Adjust water boxes to fade at end of construction. V, <br /> 8 Driveways shall be completely cured before dlivbig on them. <br /> 9. Roollop drainage shall be discharged: <br /> a) To a residential roof downspout system designed pas cation 4-9.4 of the city standards <br /> mid constructed as per We city's"Residential Roof Llpwnkpout System" derail lattached). fie <br /> b) Onto splash blocks. <br /> The method selected will be subject to Public Works Depaltefneut approval. <br /> J DGEMENT OF CONDITIONS <br /> /1� �o. Resi[T.'NtiZl gpf+tnKl�V 5,5, fZC�I'+fr&lheundr•rsonedowner/appllcanlhereby agrees tohold and save harm. <br /> 77 -� les . the City of Everett from any and all claims for damages. costs <br /> 8 ay.;enses. or causes of action that may arise becausa of Installation <br /> ,d -ainlenance ill the improvement or other righbrt-way use hereto <br /> npolird for and further agrees to remove same upon notice from the <br /> Approv d for stru ion Date I C,-y and to replace public proper y damaged therelty. <br /> t <br /> s-if�6 � yat—ss <br /> FINAL INSPECTION Dale ' <br /> Approved as Constructed <br /> S,gnafure of A hcant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cedar Street BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everett WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259.8810 PROJECT OVER 90 DAYS DURATION. <br />