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Date 316186 <br />application Fjr <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Pubhc Wont Permit • 45 � <br />eodp o.Po • 86/16170 <br />Public Wodl Fee = <br />Tblal Fee <br />Lia. AMI Fee Pend <br />Salome Due i <br />Boyden Realt<y.3¢C. 1429 Aro *i Everett 9H207Phone . 2G <br />Owner Mailing Address City Zip Phone <br />J & D Builders 1429 Br dw 'a Everett 98 Ott88 1 242-11AA <br />Applicant Mailing Address+ City Zip Phone <br />Describe Proposed Work . New Single Family Residence <br />Project Address (if known) 217 — 93rd St.. <br />Attach four (4) copies of plans for 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. All cAlls for Inspection shall be made 24 his, in advance - phone 259.881 5. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />standards and Specificallon+ <br />3 Call Location Underground Service 48 his before you dog. 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 JITH RAINWATER RUNOFF. <br />5. DOWNSPOUTS FRUM 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 />FINAL INSPECTION / \ tJ <br />Approved as Constructed U <br />i <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />Phone: 259-8815 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />IWN <br />r <br />V) <br />O <br />a <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 replace public property damaged thereby. <br />Signature of Applicant Dete <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 />