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,a <br />nPp,Poi. I" r�IAUG n d 1 y1 <br />PUBLIC WORKS PERMIT Date 10-16-96 ' <br />PUBLIC WORKS DEPARTMENT Public Works Penult 11 / to/` 07 <br />3200 Cedar Street <br />Everett, WA 98201 2598810 Building permit N 53731 <br />TYPE OR PRINT ONLY ,~ <br />Public lyprkp Fee S _ <br />M o r{ W <br />_ eorneth Cu::t 11 Hdlnes 1241 Stnte Av,C, Marysv111Q98210 '653-1/20 <br />Oa per Melling Address City n r.� pp -,Phone <br />Ly5�'i5 <br />7.lm tI y a r75 ir+�r, <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />new house <br />830 93rd St SE <br />Lot 12 Mt View Vill.eae <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following If applicable: <br />"Property Unes 'Outline and dimensions of all existing and proposed structures on the lot •Existlug and proposed utilities <br />•Centerline of street •Indicate North •Show any proposed grading changes "Show measurements <br />UO NUT WRITE BELOW THIS 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 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 />4. Keep city sbecls Clem of all times. <br />5. Club gutter and sidewalk in the plat tire new slid tutdtimage9, fury damage thereto shall be rcpla.r d ul <br />discretion oi'the public Works Tnspectur. <br />6. Adpisl water boxes to grade at end of constniction. <br />7. Driveways hhall be completely cured before driving on diem. <br />8 Rooftop drainage shnif be dischuped. <br />lots 1.12 to an approved uifdlrafion Uench as per plan stapled to this permit <br />Lots 1.3.21 to the storm rbainage stub provided ;it the rear of the lot <br />fil crxt. <br />r <br />FINAL INSPECTION Date <br />Approved as Constructed <br />r/ <br />t <br />W <br />H <br />ttttt� <br />W <br />O <br />z <br />4 <br />M♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF 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 replace public property <br />damaged t Pereby. <br />6 ,i <br />i <br />Signature of Applicant Date <br />WORK AUTHORIZED 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 />