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OLT <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />32DO Ceder Street <br />Everett. WA 98201 259-8810 <br />Date ____ 9-25-96 <br />Public Works Permit s _�� <br />Building Permit x - 53003 <br />'° <br />TYPE OR PRINT ONLY POSTING 0'1 1 � � Public Works Foe $ <br />Bor..eth Construction 1241 State Ave Marysville 98270 359-1034 _ <br />Owner Melling Address City Zip Phone <br />Todd Borseth <br />Applicant Mailing Address City Zip Phone <br />Describe Proposed Work new house <br />- 41' z R DODFih-' <br />BLDG $741.19 <br />PROJECT ADDRESS (if known) 802 93rd St SE Lot 15 Mt VihEVVi11ag1k0.00 <br />Attach four 14) copies of plans for proposed work - Draw to scale and note the hollowing If applicable: DR. IWI $20.00 <br />•Property Lines wOutline and dimensions of all existing and proposed strictures an the lot *Existing and pMgg(18ngtg(ges <br />`Centerline of street `fndicate North OShow any proposed grading changes •Show measurements WATER $105.0D <br />DO NOT WRITE BELOW THIS LINE °.,EWER $70 00 <br />PERMIT CONDITIONS:S'SDEV $12YG.00 <br />1. All calls for Inspection shall be made 24 hours In advance - phone 259.8810. .15D T 1296. <br />0. <br />2. All work shall be performed in accordance with this permit and current City of 9M D; ani <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424.5555. <br />4 Keep city streets clean at an times <br />5. Curb gutter and sidewalk br the plat are new and twdarnaged, fury damage thereto shall be replaced ai ih <br />discretion of the public Works Inspector. <br />6. Adjust water boxes to rmde at end of constmctton. <br />Driveways. shah be completely cured before driving on them. <br />R. Kooflop drninage shall be discharged: <br />lots 1-12 to an approved infiltration trench <br />Lots 13-21 to the stonu droinfrc stub proOded at the rear of the lot <br />App7ved for Co strut on Date <br />z'k& ' s=s -s7 <br />FINAL INSPECTION Date <br />Approved as Constructed <br />W <br />Vi <br />M <br />0 <br />z <br />`0 <br />V♦ <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The u signed owns applicant hereby agrees to hold and save harmless <br />the C y o verett fro ny and all claims for damages, costs, expenses, or <br />taus s of on het y arise because of Installation and maintenance of <br />the i pro t oI n9 I, hereto applied for and further agrees <br />to r e e po f he y and to replace public property <br />WORK AUTHORIZE[ BY THIS PERMIT MUST BE STARTED WITHIN 180 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 />