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TYPE OR PRINT ONLY <br />AppllChb n For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />32DO Cedar Stmet <br />Everett, WA 88201 250-8810 <br />To 1DnCTING 01 <br />Borseth Custom Homes 1241 State Ave <br />Owner Meiling Address <br />Address <br />71,E <br />City <br />Date 10-16-96 _ / <br />Public Works Permit 0 ___J 4!/T�- --- <br />Building Permit a _ 53227 <br />Public Works Fee 6 _z0--- -- <br />Ile 98270 653-3720 _ <br />Phone <br />ZIP <br />Zip <br />Describe Proposed Work new house _ _ U1 <br />701 93rd St SE Lot 1 Mt Vie e <br />PROJECT ADDRESS (if known) —_ -- — T:54FJ1 990495 Olt <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following It applicable: y�nn(7DO y�7 O <br />•Property Lines •Outline and dimensions of all existing ono proposed structures on the lot 'Existing and proposemllmfl'729.,i0 <br />-Centerline of street •Indicate North •Show cny proposed grading changes •Show measurements l LB6 $77.09 ool <br />uv nvi rev,,-. ..,..,...... ...... ....._ <br />PERMIT CONDITIONS: SRCWB $4.50 <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. DRIWV $20.00 <br />2. All work shall be performed In accordance with this permit and current City of "(WDesl9iifkdN <br />Construction Standards and Specifications. OMOD9171 <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMOGmt-800$das m. <br />"00�64 VA <br />t Keep city Streets clean at all Iltlles. WER 70.00 O <br />S. Cwb gullei acid sidewalk III Me plat ate new and undamaged, any dabtareitcad [it Ili <br />discretion of the Public Works Inspector. <br />b Adjuist water boxes to grade at end of constniction. <br />Driveways shall be completely cwcd before driving on them. <br />8 Rooftop drrjnage shall be discharged <br />lots 1.12 to err approved infUtration french as per plan stapled to this pentral <br />Lots 13.21 to file storm drainage shrb provided at the rear of file lot <br />— <br />Approve0lor t.^,onetructbn Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owneriapplicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages. costs, expenses, or <br />causes of action that may arise because of Installation and maintenance of <br />the Improvement or otter right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace puhiic property <br />aamagad 7hyrlsm <br />WORM AUTHORIZED BY THIS PERMIT MUST RE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAYBE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />