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Date 10-21-94 /� — I Ui —,GJ a�E- 3s3 � <br /> 0 PO STI N G Publlc Wo�ks Permit e <br /> Applicatiori Fo� Blap DeO� • 45919 <br /> PUBLIC WOR,KS PERMIT PUbTotlFeeFee S <br /> i.r <br /> ��'� Less ApO�Foe PaiO S �J�+ � <br /> Ci CJ r:i U o �,-, C;1 fj f,_, �7 r i Balance Due $._(/�� <br /> Print or Type Only �i r� ca rr, r_:� in c.� �.� r� ..� �-� . . <br /> r�� �r �� r_i ci �� ci ��; i:'� .. , <br /> �� � r ai ia ` C.� '^ �� � :: iii <br /> �� � ^- r�J t':. <br /> O- el -: C.i <br /> Lineil Time Development� PO' Box 882 Snoho��sh�WA 98290 568-6215 Tim Tomulty <br /> Owner �9aili�g Addre�s �: �� �� � �i1y. ��,i ,,; i;i :- Zip Phone <br /> l . C. L C'1 _l C� S :3 O �•� f.] 1'1 C� C1 <br /> ��1 ri n :: L� �, Cl �` �- Ci i�- n . cD t,� <br /> :.l . i ..i li.t ...I fr' � C] aT C� �a� . � L <br /> Owner .. .c �;; n. i' ni m r.� Ci. Yr. .3 s•: p� .i� %, <br /> . Applicant Mailing Address City Zip Phone <br /> � � <br /> . Describe Proposed Work new house � <br /> Project Address(il knowm 5002 El Charlee St Lot 1 Sound View Addn � <br /> � Attach tour(4) copies of plans for proposed work- Draw to scale and note Ihe tollowing as applicable: � <br /> � � Property Lines • Centedine of street � <br /> • Outline and dimensions of all existing and • Indicale North <br /> proposed structures on ihe lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measurements � ' <br /> 00 NOT WRITE BEI.OW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All calls for inspection shall be made 24 hrs.in advance•phone 259•8810. � <br /> 2.All work shall be performed in accordence with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.6efore you dig.TOLL FREE NUMBER 1•800•424-5555. � <br /> 4. hislall rock conshuclion entrance behuid d�iveway as per city stm�dard if208 a�id erosion controi as �1�ected by � <br /> FubGc Works Lispcctur. <br /> S. Kerp ciq�streets ctca�i at all times. <br /> ti. Curb gwter u�d sidewall:in the plat�ue new ar�d imdvnaged, wry damoge d�ereto shall be replaced at d�e � <br /> disrrction of tl�c Public Works L�spcctor. <br /> 7. Arry change in thc drivew:ry cut must be approved bp the F\u Tnspector, widih at prop line limited to existing � <br /> aprou widtli. O <br /> 8. Adjust watcr boxcs to grade at cnJ of concimction. <br /> 9. D�iveways shall be complelely cured beto�ti dtivine on tl�em. � <br /> 10. Fouflop dr�in�gz simll bc dischmged: <br /> . to tlie site's ctomi ctrain .rystcm (privot� or pu6Ge) <br /> . to a residentiul roof downspout system desi�ied per seciion 4-9.4 of the ciq�stanclerds <br /> . onto splosh LIocF:s y�( <br /> �,�/ Thc o:�ihod selectetl will be subject to Pnblic Works ne�artement�j�iov�ILEDGEMENT OF CONDITIONS <br /> `�� The ndersigne wner/applicant hereby ag�ees to hold and save harm- <br /> less the Gity of Everett from any and all claims for damages, costs, <br /> ezpenses, or causes ol action ihat may arise because of installation <br /> �L� `�/�Q/�fQ, and r aintenance of the improvement or other righFobway use hereto <br /> ���L � � applied for and furjher agrees to remove same upon notice Irom the <br /> Ap roved fo� Consiruction Date City and to repl�¢cfpu�rip operty damaged thereby. <br /> J. <br /> � <br /> r� .-/ - ,/- �: - �,,- �;�,�- <br /> �t•' � • �, <br /> FINAL INSPECTION Date � � ' �� ' <br /> Approved as Constructed Signature of plicant Date <br /> FF PUBLIC WORKS DEPARTMENT VfORK �ORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> ��r;'� 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everetl,WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> � Phone:25;•8810 CANCELLED BY THE CIl'Y UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. <br />