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Dato__3/G/8G <br />Apply it. " I rI <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />NMI Work. Permit • ✓ �_/�Jr <br />Bldg Door . 86/16165_ <br />PuEec Work, Fee <br />Tor, I,. f <br />Leo AWt Fee Pa I a .� <br />(J CJ <br />e,.nu oes t{ <br />noydPn gent y inc_ 1429 Broadway rverett 98201 252-1166 _ <br />Owner Melling Address City Zip Phone <br />J & D Builders 1429 Broadway Everett 98201 252-1166 <br />Applicant Mailing Address City Zip Phone <br />Describe Propos)d Work New Single Family Residence <br />Project Address (if known) <br />Attach four (4) copies of plans 1Lrr proposed work - Draw to scale and note the following as applicable: <br />• Property Lines • Centerline of street <br />• Outline and dimensions of all existing and • Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1. Aft calls for Inspection shell be made 24 his, in advance • phone 259.8815. <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. Cell Location Underground Service 48 hrsbefore you dig. TOLL FREE NUMBER 1-800.424.5555. <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 FIGHT-L'AED TO THE PUBLIC <br />DRAINAGE SYSTEM. <br />6. ANY CURB & GUTTER DAMAGED DURING CONSTRUCTION SHALL BE REPLACED BY THE <br />APPLICANT. <br />ApproVeo as L.onsouureu <br />everett PUBLIC WORKS DEPARTMENT <br />Ever Ceder Street <br />Everett, WA 98201 <br />Phone: 259.8816 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />tt� <br />CM <br />W <br />0 <br />n <br />Z <br />0 <br />r� <br />V/ <br />0 <br />a <br />The undersigned owner/applicant 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-wav use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace public property damaged <br />dtthereby. 7 r' <br />Ignature of Applicant Date <br />WORK AUTHORIZED BY TIJS PERMIT MUST BE STARTED WITHIN <br />1B0 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 />