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Date 3/6/66 <br />Applu;audn r , <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Pubk work' Permll • 46KC —. / <br />aid, Dorf a 86/16i% <br />Publm Wolks rye <br />Tol'1 rb f <br />Les, APPI F. else 9 <br />Balance Due f 2� <br />Boyden Realty, Inc. 1429 Broadway Everett 98201 252-1166 <br />Owner Mailing Address City Zip Phone <br />J 6 D Builders <br />Applicant <br />Describe Proposed Work <br />1429 Broadway Everett <br />Mailing Address <br />New single family residence <br />98201 252-1166 <br />lip Phone <br />-- R W <br />Project Address (if known) knXXX29zx 135-93rd St SE <br />Attach four (4) copies of plans for proposed work - Draw to stole and note the following as applicable: t� <br />• Property Lines • Centerline of 3treot ♦^ <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 <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS <br />1. All calls for Inspection shall be made 24 has. In advance - phone 259.8815.sal <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. Call Location Underground Service 48 hrsbefore you dig. TOLL FREE NUMBER 1.600.424-5555. <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 6 GUTTER DAMAGED DURING CONSTRUCTION SHALL BE REPLACED BY THE <br />APPLICANT. ' ^ <br />V/ <br />0 <br />an <br />zl-Lo l <br />Approved as Constructed U U <br />W <br />PUBLIC WORKS DEPARTMENT <br />Ever Ceder Street <br />Everett, WA 98201 <br />Phone 259-8815 <br />Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Tho undersigned owner/applicant hereby agrees to hold and save halm. <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 iight-of-way use hereto <br />applied for and further agrees to remove same upun notice from the <br />City and <br />/replace public properly damaged thereby. <br />L s <br />Signature of Applicant D e <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 CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />