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A <br />h <br />:� <br />Appl�ca(on For / <br />� PUBUC WORKS PERMIT °a1e _---- . `0-16-96 ___ <br />PUBLIC WORKS DEPAR?MENT Public Works Permit Y_"{ �/�_ ___ ._. . <br />3200 Cedar Slreat � � � - <br />Everett, WA 99201 zss�ee�� 1 8 1991 <br />r�C/.iTI P'1 G __ B�ilding FermB R 53229_____ _ <br />.• n -- <br />TYPE OR PRIiJT ONLY Pu61�c Woiks Foe S_�� ____ <br />Borseth Custom Homes 1241 State Ave Marysville 98270 653-3720 <br />O.v �er Malling Address Chy Zip Phona <br />�ppllcant <br />Describe Proposed Wo•k <br />Nailing Address <br />new h�use <br />City 2I� Phone <br />PROJECT ADDRESS (il known) _ 8�5 93rd St SE Lot 10 Mt View Vi <br />n�t:ich lour (4) coples of plans lor proposod work - Orew to scale end no�e the lollowing il epplicable: <br />•Pioparty Lines •Outlina and dimenslons ol all e�isling and proposad siructures on the lot •Existing and proposed utililies <br />•Centrdine ol street �Indicate North •Show any proposed grading changes •Show measurements <br />PERMIT CONDITIONS <br />1. All cails tor inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specitications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />4 Rrep cih� �t�rric cle;m at nll hrnes <br />5. CwL �uilei ;wd siJew;ill� iu Ihe pl�d air ucw mid iwdamaE�rd. au� d;mm��,� Ihc�elo .h,Jl Le i�pl;�crd al <br />discirlion of thc 1'ublic �1'nrk> ins� ector <br />G Ad�ust wntcr hoxcs io rrado ai end o1 consinichon. <br />Dii�•cway� shall bc �ompicicn� cwcd b:forc dri�v�g ou Ihau <br />K Knotlop dr�inagr �hall br. �I�rhil7rcd' <br />lots 1•12 �o �m approved intiltraiion I�cnch ns prr pl»n st�plcd i�� �hi� ��:inw <br />� J�5 �.i-'j �0 Ifl: �IUIIII i�1;llllfl^�� ...hl�� �II1�\'I�i'.!� fl� 1�b1 Ii;ll o� I�1' ���i <br />��� � <br />FINAL INSPECTION <br />Approved as Construr,ted <br />ACKNOWLEDGEM[NT OF CONDITIOIvS <br />The underslgned owner/applicant hereby egrees to hold nnd save harmles s <br />�O / �� the Clty of Everett Irom any end ell cleims lar demages, cosis, expenses, or <br />Dnte -- �auses o1 actlon thut may erise hecause ol installalion end malMenance ol <br />the Improvement or other right-ol-way use herato applied lo� end IuAher agrees <br />to remove same upon notice from the C.Ity nnd tu �eplace public property <br />�v a� � damaged thereby. <br />`NORK AUTHORIZED I3V THIS PEFlMIi i• �UST BE STARTEf] WITHIN 1B0 DAVS OF DATE PERMiT IS ISSLI[� AN� THERFAFTER IS TO BE DILIGENTLY Pl1RSUED TO <br />COMPLF.iIO�J THIS P[RMIT MAY Bf',ANOfLL[D BY THE CIIY UPON ANV STOPPAGE Jf bVORK ON THIS PFiOJ[CT OVEfi 90 DAVS DURATION <br />