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Date 3` 6/86 <br />Application Fur <br />PJSLIC WORKS PERMIT <br />Print or Type Only <br />Public Works Parma e L�V 119 <br />Drop Dept • 86/16 66 <br />Pubic Work, Fee 6 <br />Total FOR <br />Less ApPl Fee Paid L• D•W7-- <br />BalanceDue 6 <br />Boyden Realty, Inc. 1429 Broadway Everett 98210 252-•1166 <br />Owner Malbnq Address City Lp Phone <br />_ J sr D Builders 1429 Broadway _ Everett 98201 98 252-1166 <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work New single family residence <br />W <br />Project Address (if known) 220 - 93rd St BE <br />Attach four 141 copies of plena for proposed work - Draw to scale and note the following as applicable: <br />• Property Lines • Centerline of street <br />/ <br />• Outline and dimensions of all existing and • Indicate North <br />prnposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Snow measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs in advance • phone 259.881 5. <br />t� <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. Call Location Underground Service 48 lirabefore you dig. TOLL FREE NUMBER 1.800.424.5555. <br />z <br />4. ANY GRADING DONE ON THIS 'OT SHALL BE DONE SO AS NOT TO IMPACT THE <br />SURROUNDING LOTS WITH P.AINWF.'ER RUNOFF. <br />O <br />5. DOUNSPOUTS FROM THE BUILDING ARE TO BE TIGHT -LINED TO THE PUBLIC DRAINAGE <br />SYSTEM. <br />6. ANY CURB 6 GUTTER DAMAGED DURING CONSTRUCTION SHALL BE REPLACED BY THE <br />APPLICANT. <br />a <br />..yvToko.. e� ....IIar <br />everett PUBLIC WORKS DEPARTMFNT <br />3200 Ceder Street <br />Everett, WA 98201 <br />Phone: 259.8815 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant herebv agrees to hold and save harm- <br />less the City of Everett horn any and all claims for damages. costs, <br />expenses. or causes of action that r.Tay arise because of Installation <br />and maintenance of the Improvement or other right-ol-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 />0 Ale: <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST DE 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 />