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Date 3 6 86 <br />4hhhi tlim �. i <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Pubic Warts. Permit . <br />alep D.,, . 86/16148 <br />Public Won. Fee <br />Toni Fee Let, A"[ Fie Paid <br />B.1.m. Du. t{ <0 <br />Boyden Reslty 1429 BreadWay Everitt 08201 25.^-1166 <br />Owrar Melling Address City Zip Phone <br />J & D Builders 1429 Broadway Everett 98201 252-1166 <br />Applicant Meiling Address City Zip Phone <br />Describe Proposed Work _ New Single Family Residence <br />��f 9 <br />W <br />Project Address (If known) 120 - 93rd Street SE <br />Attach four (41 copies of plans for proposed work • Draw to state and note the following as applicable: <br />• Property Lines • Centerline of street <br />r <br />• Outline and dimensions of all existing and • Indicate North <br />V aj <br />proposed structures on the lot • Show any proposed gracing changes <br />• Existing and proposed uLlities • Show measurements <br />00 NOT WRITE BELOW THIS LINE <br />O <br />PERMIT CONDITIONS <br />1. All Palls for Inspection shell be made 24 hrs. In advance • phone 259.8815, <br />t� <br />2. All work shell be performed In accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Cell Location Underground Service 48 his. before you dig. TOLL FREE NUMBER 1.800.424.5555, <br />Z <br />4. ANY GRADING DONE ON THIS LOT SHALL )E DONE SO AS NOT TO IMPACT THE <br />SURROUNDING TOTS WITH RAINWATER RUNOF . <br />O <br />5. DOWNSPOUTS FROM THE BUILDING ARE TO BE TIGHT —LINED TO THE PUBLIC <br />DRAINAGE SYSTEM. <br />6. ANY CURB & GUTTER DA14AGED DURING CCNSTRUCTION SHALL BE REPLACED BY THE <br />` <br />APPLICANT. <br />' w <br />ov r ns ruc ` n / / Date <br />FINAL INSPEC ION Date <br />Approved as Constructs <br />i <br />PUBLIC W KS DEPARTMENT <br />3200 Ceder Street <br />Everett, WA 98201 <br />Phone. 259-8815 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/appticant hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims for damages. costs. <br />expenses, or causes of action that may arise because of Installation <br />and maintenance of the improvement or other right-of-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to re/place public property damaged thereby. <br />J,c, <br />Signature of Applicant Dthe <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CIT , UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAY3 DURATION. <br />