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Date 9-15-93 �Z��� C��j � <br /> T� O J�I N G � ' P��lic Warka Permit� �� <br /> L <br /> Application For BIOp.Dapt.e 4�n3g <br /> PUBLIC WORKS PERMIT P�°To;;FaaFeB S <br /> Less ApD�Fee PaiE s rl <br /> Baiance D�e $ �"'O <br /> Print or Type Only <br /> Ken Koenig 4813 Glenwood Ave Everett WA 98203 252-4943 <br /> Owner Maifing Address City Zip Phone <br /> Owner <br /> Applicant Mailing Address City Zip Phone <br /> DeScribe Proposed Work new house <br /> Project Address(if known) � I v I / K — (O I��� � <br /> Altach lour(4) copies ol plans tor proposed work• Draw to scale and note ihe followi�g as applicable: � <br /> • Property Lines • Centerline of street � <br /> • Outline and dimen;io�s of all existing and • Indicate Norih <br /> proposed structures onthelol � Show any proposed grading changes <br /> • Existing and proposed utilities • Show rneasurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be made 24 hrs.in advance•phune 259•8810. � <br /> 2.A!I work shall be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Lecation Underground Service 4B hrs.before you dig.'�OLL FREE NUMBER 1•800•424•5555. � <br /> 4. InsY.all rock construction e_itrance behind driveway as per city <br /> standard #208 and erosion control as directed by Public Works � <br /> Inapector_ <br /> 5. Keen cit5� streeta clean at all times <br /> 6. Curb gutter and sidewalk in the plat are new and undamaged, � <br /> any damage thereto shall be replac;ed at the discretion of the <br /> Public Works Inspector. <br />�� ,'. ' 7. Any change in •che driveway cut must be approved by the PW In- � <br /> spector, width at prop line limite� to existing apron width_ O <br /> 8. Connect all. roof, yard and drivewaY drains to storm drain <br /> system provided to lot. <br /> 9. Adjust water boxes to grade at end of construction. � <br /> 10. Driveways shall be completely cured before driving on them. <br /> n0 ACKNOWLEDGEMENT OF CONDITIONS <br /> /i1�(.l9 <br /> 1 The undersigned owneqapplicant hereby agrees to holtl and save harm• <br /> less the Ciry of Everett Irom any and all claims for damages, cosis. <br /> � expenses, or causes of action that may arise because of tallation <br /> I/� o rn G� _ 5��,� � ��3 and maintenance ot the improvement or other right-o4way use hereto <br /> �" applied lor and turther agrees to remove same upon notice from the <br /> Approved or Construction r-, Dale City and t��� �lace public property damaged ihereby. <br /> / ! <br /> cX ���ff 4' 7 � <br /> FINAL INSPEC ION �0 S('(��P.� /N J P�7p Dele + _�.1 �I � �-`A-P.al�t�- <br /> Approved cs Constructed "t Signal�rte ot ApP�i nt• // Dale <br /> PUBLIC WORKS�EPARTMENT WORK AUTHOFI ED �Y THIS PERMIT MUST BE :TARTED 1h'ITHIN <br /> 3200CedarStreet �80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Tr Everett,WA9B201 BE DIL�GENTLY PUFSUED TO CCMPLETION. THIS PERMIT MAY BE <br /> Phone:259•8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WO��K ON TH�S <br /> PROJECT OVER 90 DAYS DURAi ION. <br />