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Application For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 U <br />rvor. r)R PRINT ONLY TO POSTING --- <br />Address <br />Describe Proposed Work new house <br />Date 1-31-96 p/QQ <br />Pub-C Works Pennit M - c '`7� _ <br />Building Permit N 507 <br />Public Works Fee S 09 I <br />225 92nd P1 SE Lot I $tEA15-94f63.UU _ <br />PROJECT ADDRESS (if known) - MECH $60.30 <br />Attach lour (4) copies of plans for proposed work •Drew to stele and note the following If applicable: 9BCHRG $4.50L <br />•Properly Lines *outline and dimensions of all cxisting and proposed structures on the lot •Existing and Pill"y01111ega..0 moo <br />•Show any proposed grading changes •Show measurements ^LH CH 53.31 <br />•Centerline of street •Indicate North <br />DO NOT WRITE BELOW THIS LINE WATER $105.00 <br />PERMIT CONDITIONS: 400030504 <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 CI of �De <br />Construction Standards and Specifications. <br />3. Cali Location Underground Service 48 hrs. before you dig. TOLL FREE NUM * ` f*,' 5 <br />4. <br />5. <br />6. <br />7, <br />a. <br />9. <br />Keep city streets clean at sit limes. <br />Cnrb gutter and sidewalk in the plat are new and undamaged, any damage thereto <br />shall be replaced at the discretion of the Public Works Inspector. <br />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 />Adjust water boxes to grade at and of construction. <br />Driveways shall be completely cured before driving on them. <br />Rooftop drainage may be discharged to the pints pond or may be discharged to an <br />infiltration trench per city standards. The system installed mast be approved by the <br />Public Works Inspector. <br />W <br />Z <br />O <br />Cn <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The <br />City of Everett from owner/applicant <br />and all claims for damages, costs- expenses, or <br />causes c'sclion at may arise because of <br />the Improvement ohinstallation <br />other right-of-way use hems applied for and furlheeegrees <br />tc remove same upon notice from the Cltv end to replace public properly <br />D <br />he by.Date <br />of Appllc t <br />DILIGENTLY" AND THEREAFTER IS TO BE PURSUED TO <br />CWORKOMPL ON. TIHIS PERMIT MAY CANCELS ED BYRTTHE CITY IUPON ANY TTOPPAGE OF WORK ON THIS PROJECTVER 90 DAYS DURATION, <br />