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TYPE OR PRINT ONLY <br />rune"i"", F' <br />PUBLIC WORKS PERMIT Date <br />10-16-96 <br />PUBLIC WORKS DEPARTMENT Public Works Permit <br />3200 Cedar Street <br />I veretL WA 98201 259-8810 Building Permit a 53232 <br />TO POSTING_ 1 Pjbllc Works i •te S On_ <br />Borseth Custom Homes 1241 State Ave Marysville 98270 653-3720 <br />Owner Mailing Address City ZIP Phone <br />Applicant Melling Address City Zip Phone <br />Describe Proposed Work new house <br />07-07-97 4.59PM <br />N 53232 <br />MEDVXICAL_ 80.00_ <br />I1101I 4.50 <br />PROJECT .ODRESS (if known) AWT 93rd St SE Lot 13RU* dQ'ew 30,lMage <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following If applicable: FLAN CHECK 30.00 <br />'Property l-Ines 'Outline and dimensions of all existing and proposed structures on the lot •Existing alAffose.d uk W9a o0 <br />'Centerline of street •Indicate North •Show, any proposed grading changes •Show measummrts 30960 <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: UTILITY OEV <br />1. All calls for inspection shall be made 24 hours In advance - phone 259-88 p 1613.00 <br />2. All work shall be performed in accordance with this permit and current Cit l v Ott Mand <br />Construction Standards and Specifications. OLL 326119 <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-B00-424-5(;IEit <br />A OR 614 <br />I Keep city streets clean it all limes. <br />3. CLdb gulief mid sidewalk of die plat of a new and undamaged, any damage dfcreto shall be v,placed it, ill: <br />disetelion of die Public Works Inspector. <br />6. Adjust water boxes to grade at end of constnlcdon. <br />7. Driveways shall be completely cured before driving on diem. <br />B. Rooftop drainage shall be discharged: <br />lots 1-12 to an approved infiltration trench as per plan stapled to this permit <br />Lots 13.21 to die storm drainage stub provided at the rear of the lot <br />FINAL INSPECTION Ualle <br />Approved as Constructed <br />usi <br />''tttttAtt� <br />V♦ <br />O <br />z <br />Q <br />I-1 <br />ACKNOWLEDGEMENT )F CONDITIONS <br />The undersigned owner/applicant 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 other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to rnplace public property <br />damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMI f IS ISSUED AND THEREAFTER 1_ 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 />