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./ <br />� �PV''calion Fm --_- <br />PUBLIC WORKS PERMIT Date __ 9—ZS-96 <br />PUBLICWORKSDEPARTMENT PublicWorksPermita ___�_/ )C.%3��_. __ <br />3200 Cedar Streel <br />E�.arett. WA 98201 259-BA10 BWlding Permlt n_ S30Q1__ __ __.__ _ <br />TYPE OR PRINT ONLY '�nSTI N G ��I 1997 publir. Works Fee S___ W_�.. __ _ <br />Borseth Conatruction 1241 State Ave Maryeville 98270 359-1034 _ <br />Owner Malling Address Clty <br />Todd Borseth <br />P.pplicant Malling Address Cfty <br />Describe Proposed Work new house <br />PROJECT ADDRESS (if known) __ 711 93rd St SF. <br />Lot 3 Mt <br />Phone <br />Attach lom (J) copies ol plans I�r pmposed work - Orew to scale and note ihe lollowing II epplicnble: j{000$'OQl <br />•PropaAy Llnes 'Outllne nnd dimenslons o� all existinp and proposed structures cn ihe lot •EKistlnp antl p�ps�ed ulilill£c741 .1 D <br />•Centadine o1 streat •Indicete North •Show any pioposed grading chenges •Show measurements F�� 477.00 <br />DO NOT VJRITE BELOW THIS LINE gF•CHRG f4�50 <br />PERMITCONDITIONS: DR?VW�' f�U.�JO <br />1. All calls for inspection shall be made 24 fiours In advance - phone 259-8810. <br />2. All work sha�l be performed In accordance with this permil and current City of �v�r� Desig�'ar��l <br />Conslruction Standards and Speci(ication� q0000915'� <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUM��OBOO4dQ���55. <br />sEwEF s�o.on <br />51'SDEV S � .^.96. ^fl <br />1 I:rPp nfy iiccts rlrnn �tl ,dl hmr� BNDIIt 4';30.!K' <br />(wL E�ulla anJ ;idew,dk iu ILc plul mc ucw and uud.umiE�ed. auy dnnia;�c i�i�q,IR sh,�b91cPi:urJ a� <br />di�c�rlion ot Ihr Pub6c �t'orkr Inspcctoi. <br />r, Ad�ust water boxes �n t•rnde al end n1 cnnsm�cnon. <br />D�i�.ways �I�all Lc compl,tcly rurcd bcli�rc d�i�iug nn Ili:w <br />I; nnpop drainal.�r �hall be di�rhar.ed <br />lois I 11 �o :m appro�rd intilh,�tinn u:ncti <br />f:,I : I?-'_1 ��� th� :tonu di,iiva��c : tnb pi u�idcd .d th: i.:u of Ui � I�,i <br />� <br />O <br />♦i/� <br />Vd <br />O <br />a <br />�vt��IkrA�4'ioh -i�✓�u,Gl, �all � I��L �li 1C10`1V�CZZ`�. �Ga�s}rvc-4td <br />�S �r�kr��� ��uw�n��. <br />�� �'- --���- <br />prove or Conslruc on Date <br />�r <br />-- ` -�-°�� - <br />Fl AL INS CTION Date <br />ApPmved ns Cons�ructed <br />AGKNOWL[UGEM[Nl OF CONDITIONS <br />The undersigned ownednp?ticaM 1lereby agrees to hotd antl seve harmless <br />ihe City o� EveRit Irom eny and all claims lor damages, cosis, expenses. nr <br />cnu ot actlon t at may arise bechuse ol fnstellation end maintennnce ol <br />the m{frovemento olhe I of�wayuseheretoappliedbrendfurtharagrees <br />to emyq� sarne qep �id�ce`from ihe City end to replace publlc property <br />WGRK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAVS OF �ATE PERM�T IS ISSUEf� AND THEREAFTER IS TO BE OILIGENTLY PURSUED TO <br />COMPLETION. THIS PFRMIT MAY �E CANCELLED BV THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATIOA. <br />