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Apphulion Fo: <br />PUBLIC WORKS PERMIT Da�e 10-16-96 <br />Tn, fn,tTING <br />TYPE OR PRINTONL <br />PUBLIC WORIOS�DEPAflTMENT <br />3200 Ceder S+reet <br />Everett,WA9B � 258-BB10 <br />OCT i �•, 5 1�' <br />—� i?�ifii�i�'.. <br />f-� bl ,G�.i[l� <br />.. C tT m..� r � � <br />rl: w• .n r. «, <br />tl M <br />Borseth Cuetom Homes 1241 Stat <br />Owner Meiling Address p. �.. <br />�l <br />Describe Proposed Work new house <br />/ <br />Publlc Works Pertnit M_`L�� �� _ <br />BulldinpPertnHi 53�28 <br />�'� C'., CJ C� f] <br />. ' fi r• I. �i I <br />�;; , � e44�c !�y�a , � a —4� -- <br />�-• n �, t . (1 <br />98270"' 65�3720 <br />Phone <br />PROJECT AUDRESS(ifknown) 819 93rd St SE Lot 9 Kt View Village _ <br />Attech lour (4) coples of plans lor p�oposed work - Draw to ecale and nota the lollowing N epplicable� <br />•Prope.vty Lines 'Outline and dimenslons ol all ezisting and proposed strucWres on the lal •Existing end propoaed utlllties <br />'Cente�line ol street �Indicete North •Show any proposed gratling changes •Shaw meesurements <br />LINE <br />PERMIT CONDITIONS: <br />1. All calls for Inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be perfurmed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specilications. <br />3. Call Locatlon Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 7-800-424-6565. <br />i Kcep citv sheets demi nt nll tnnes. <br />5. CwL �ulle� and siJew�lA in Il�e vlal eie uew w�d widawaKed. �ury ��wnnge ILaralo shxp Le icplead al <br />discrrtion ���u�� r��nh� w�r►s Inspector. <br />�� Ad�us1 wetcr boxr� to rrnde o� end ot conxtnicnon. <br />', D,ivcways shall Lc compicicly c�acJ hcforc dri�vig ou iLcm. <br />� h�o���� a�,�� snau n� a;�char�ed <br />Im, I 11 in ;in appiovrd inliltiation hen:h as pu pimi slnpled �o Itus pemul <br />1,u I' =1 I�� Ih: ,lonn dtaina�.c .:uib pimir�cd nl thc rc;u oflhc lot <br />I� <br />Approved for Conswction / De(e <br />,� � � �-avc.— $ - b - 97 <br />FlNAL INSPECTION Date <br />Approvad as Construcled <br />� <br />O <br />/�� <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undarsigned ownedapplicanl heraby agraes to holtl and save „armless <br />the City ol Everett Irom eny end ell cleims lor dameges, costs, eKpensas, or <br />causes M action thet may edse because of installatlon end malntenenca of <br />ihe Improvament or othei rlght-of-wey use hereto epplied Por and lurther egrees <br />te remova same upon notice fmm the Clty and lo replace puWlc property <br />damagad thereby. <br />/L.� � /`A <br />ct <br />Slgnalure of Appllcent Deta <br />WORK AUTHORIZED BV THIS PERMIT MUST liE STARTED WITHIN 1B0 DAVS OF UAiE PERMIT IS ISSUED AND THEREAFTER IS TO BE OIIIOFNTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY DE CANGELLED BV THE CI7Y UPON ANY STOPPAOE OF' WORK ON THIS PR0.IECT OVER 80 DAVS DURATION. <br />