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Date 10-2l 94 <br />TEt POSTING <br />Application Fora. <br />PUBLIC <br />t <br />WORK&PERMIT <br />2 <br />O <br />O <br />Print or Type Only <br />O f 0 <br />� ) o 0 o uO O O O O) o r <br />ar o 0 <br />to o c� 00 :n rJ <br />o w F w d w <br />Lineil Time <br />Owner <br />Owner <br />Applicant <br />Describe Proposed Work _ <br />PO„1}ox'„1g82 Snohomish <br />X. <br />0 <br />vi <br />Public works Permit <br />Bldg. Dept. s 45918 <br />Public Works Fee <br />Total Fee <br />Less APPI. Fee Paid S <br />00 O Balance Due S ��- <br />o r•? o� <br />N Ca <br />90*' A8-6215 <br />m W <br />oar�r<w <br />,'+ O W O LLI G1 <br />J J W J r1 r n) <br />masrn u)o2a 3 a u)W <br />Malting Address City Zip <br />new house <br />Lot 4 Sound View Addn <br />74/1 <br />Project Address tit known) El Charlee St <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable: <br />• Property Lines <br />• Outline and dimensions of all existing and <br />proposed structures on the lot <br />• Existing and proposed utilities <br />Tim Tomulty <br />Phone <br />Phone I` <br />• Centerline of street <br />• Indicate North <br />• Show any proposed grading changes <br />• Show measurements <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hrs. in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424-5555. <br />4. Install rock construction enhance behind driveway as per city slattdard #208 and etoston control as directed bV <br />Public Works Lupectot. <br />S. Keep city streets Clean at all tunes. <br />6. i:urb Putter and sidewalk in the plat ate new and undamaged, any danmee thereto shall be replaced at ale <br />discretion of die Public Works Inspector. <br />7. AnN, change in the dm,ewlty cut must be approved by the PW Inspector, width at prop line limited to existing <br />apron width. <br />S. Adjust water boxes to grade at end of coushuction. <br />9. D ivewaVs shall be completely cured before d1ivine oft them. <br />10. Roohop drainage shall be dlschatged: <br />• to the site's storni drain system (private or public) <br />• to a residential roof downspout systent designed per section 4-9.4 of the ciq, samdards <br />onto splash blocks <br />The method selected will he subject to <br />W <br />IM <br />O <br />n <br />z <br />O <br />O <br />a <br />Public WOIIa l)epartCillenl �P�1v1;11. EDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm. <br />less the City of Everett from any and all claims for damages. costs, <br />9)ax�J/ q4 expenses, or causes of action that may arise because of installation <br />/�/c.IM1/O,�O/ and maintenance of the improvement or other right-of-way use hereto <br />applied for and further agrees to remove same upon notice from the <br />App oved for Construction Date City and to replace public property damaged thereby. <br />FINAL INSPECTION Date •-� -^� �' n5_ <br />Approved as Constructed :gnature or -Applicant Date <br />c <br />PUBLIC WORKS DEPARTMENT ORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />Everett. WA 98201 BE DILIGENTLY PURSUED TO COMPLETION, THIS PERMIT MAY BE <br />Phone: 259-8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS. <br />PROJECT OVER 90 DAYS DURATION. <br />