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047r Annlicatlon For <br />PUBLIC WORKS PERMIT Date_ 10-15-96 <br />PUBLIC WORKS DEPARTMENT Publla Works Perry, ! N _ 4(013q� <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 Building Permit N _ 53218 <br />TYPE OR PRINT ONLY ' `ISTING " ' Public Works Fee ZD <br />Borseth Construction 1241 State Ave Marysville WA 98270 359-1034 <br />Owner <br />Melling <br />City Zip <br />Owner <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work _ new house <br />PROJECT ADDRESS (if known) <br />732 93rd St SE <br />Lot 16 Mt View <br />Attach four (4) coples of plans for proposed work - Draw to scale and note the following if applicable: <br />'Properly Linea 'Outline and dimensions of all existing and proposed structures on the lot 'Existing and proposed utilities <br />•Centerline of street 'Indicate North •Show any proposed grading changes •Show measurements <br />C0 <br />ca <br />O <br />PERMIT CONDITIONS: <br />1. All calls for Inspection shall be made 24 hours in advanre - phone 259-8810. O <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800.424-5555. <br />(A <br />4. Keep city streets clean at all times. O <br />S. Club gutter and sidewalk- in the plat are new and undamaged, airy damage thereto sliall be replaced W Ili <br />discretion of the Public Works Inspector. 11/06/96 12250FM 000p11-" ;OM <br />6. Adjust water boxes to grade at end of construction. / <br />7, Driveways shall be completely cured before driving on Ihem. 1100053218 <br />8 Rooftop drainage shall be discharged: PLOD $775•3D <br />lots 1.12 to an approved 'infiltration trench as per plan stapled to tWs Al lit $70.00 <br />0. DO <br />Lots 13.21 to the storm drainage stub provided at the rear of the lot SRCHRG $4.50 <br />DRIVWI $20.00 <br />NOOOD9178 <br />WATER $105.OD <br />#00030972 <br />/o:F SEWER $70.00 <br />l J(S15DEV $1..^_96.00 <br />/111 ACKNOWLED AFT OFU5f b&NS <br />I A— AJ The undersigned ownerany and all cll claims <br />for damages, and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />Approved for Construe Date -- causes action that may arise because of Installation and maintenance of <br />the im ro ent or iherrighI-of-way use hereto applied for and further agrees <br />tore ove a otl from the City and to replace public property <br />FIN L INSP CTI N Dale <br />Approved as Constructed <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN ISO DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />