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Date_3L6/86. <br />A;gll4-aD r-.,, <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Pub4c war%. Pwnn. _L —/L� <br />ems Dept ...86/'_6147 <br />POP. warty, rr s <br />TpbVee <br />toss Appt Fee P&.l a <br />aaunce Due i 2 <br />Boyden Realty, Inc. 1429 Broadway Everett 98201 252-1166 <br />Owner Mailing Address City Zip Phone <br />J B D Builders 1429 Broadway Everett 98201 252-1166 <br />Applicant failing Address City Yip Phrna <br />Describe Proposed Work New Single Family Residence <br />Protect Address lit known) 112 — 9_ rd- Rtreet RE <br />Attach four (4) copies of plans for Froposed work - Draw to scale and note the following as applicable: <br />• Property Lines • Centerline of street <br />• Outline and dimensions or all existing and • Indicate Nonh <br />proposed structures on the lot • Show any proposed grading changes <br />• Eaisting and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1. All calls for Inspection shall be made 24 hre In advance - phone 259.8815. <br />2. All work shall be performed In accordance with this permit and currenl City of Everett Design and Construction <br />Standards and Speciflrations. <br />3, Cell Location Undergrcund Service 48 hrsbefore you dig. TOLL FREE NUMBER 1.3100.424.5555. <br />4. ANY GRADING DONE ON THIS LOT SHALL BE DONE SO AS NOT TO IMPACT THE <br />SURROUNDING LOTS WITH RAINWATER. RUNOFF. <br />5. DOWNSPOUTS FROM THE BUILDING ARE TO BE TIGHT -LINED TO THE PUBLIC <br />DRAINAGE SYSTEM. <br />6. ANY CURB & GUTTER DAMAGED DURING CONSTRUCTION SHALL BE REPLACED BY THE <br />APPLICANT. <br />Zb <br />Approved as Constructed V (_.j <br />W <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259.8816 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />U) <br />W <br />Z <br />O <br />The undersigned owner/epplirent hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims for damages. casts. <br />expenses. or causes of action that may arise because o' installation <br />and mainlenence of the improvement or other right-of-way use hereto <br />applied for and further agrees to remove same upon notice from Ih, <br />City and to replace public property damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARIED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLE-'ION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />