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7/15/93 /�- 3s�2��� / <br /> Uate �p P05TING 11�Z�J�� Pu0lieWa�ksPori�'i���,��7 <br /> App�ication For ame oep�., _ . <br /> PUBLIC WORKS PERMIT P°°��°W°�k=F�e -- ' <br /> Total Fce s _.. <br /> Le,s Foo�Fee Pa�d � <br /> Print or Type Only eaiaoce o�o S� <br /> William R Dean 9327 Valhalla Wy Bothell 98011 488-9628 <br /> Owner Mailing Address City Zip Phone � <br /> Owner <br /> Applicant Mailing Address Cily Zip Phone <br /> Describe Proposed Work New house <br /> Lot 3 Richard Paul Shor Pla <br /> ProjectAddress�ifknown) Iv��a'✓�G HV�i/�u� _ � <br /> Attach tour(4) copies ol plans lor proposed work- Draw to scale and note the tollowing as applicahlc � <br /> • Property Lines • Centerline ot sireet � <br /> • Outline and dimensions of all existing and • Indic2te Norlh <br /> �rUposad struclures on Ihe lo� • Show any pioposed grading changes <br /> • Esisting and proposed utilities • Show n�casviemenis � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> i.All calls for inspection shall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall be performed in accordance with lhis permit and current City of Everett Design and Construction <br /> Standards an�Specifications. <br /> 3.Call Location Underground Service 4B hrs.before you dig.TOLL FREE NUMBER 1•800-424•5555. � <br /> 4. Install rock construction entrance behind driveway as per city <br /> standard #208 and erosion control as directed by Public Worka O <br /> T_nspector. <br /> 5_ Keep citY streets clean at all times <br /> 6. Curb gutter znd sidewalk in the plat are new and undamaged, � <br /> any damage thereto shall be repiaced at the discretion of the <br /> Public Works Inspector. � <br /> 7. Any change in the driveway cut must be approved by the PW In- <br /> spector, width at prop line limit�d to existing apron :��idth. O <br /> B. Connect all roof., yar.d and driveway drains to storm dr•ain <br /> system provided to lot_ /� <br /> 9. Ad,iust water boxes te grade at end of construction. �i <br /> 10. Driveways shall be rompletely cured before drivin� on them. <br /> �/�(/�/' ACKNOWLEDGEMENT GF CONDITIONS <br /> .�',/��" The undersi�ned owner/applicanl hereby agrees to hold and save harm• <br /> less the Cdy ol Everetl Irom any and all claims lor damages, cosls, <br /> ___1��-�Y! Y" W I //Z/G� expenses, or causes ol action that may arise 6ecause ol installation <br /> e � antl maintenance ol lhe improvement or other right-ol�way use hereto <br /> applied for and lurther agrees lo remove same upon notir.e Irom the <br /> App�oved lor Co ructi ate City and to replace pubhc property damaged ihereby. <br /> ��"� ��if -f�- ,�,�.�-t� D a�- . <br /> FINAL INSPECTION Date <br /> Approved as Consiructed ignature ol Applicant Date <br /> �� PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CeciarSireet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAF�TER IS TO <br /> Everett.WA98201 3E DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT h1AY BE <br /> Phone�259�8810 CANCELLED BY TI1E CITY UPON ANY STOPPAGE OF WOFK ON THIS <br /> � PROJECT OVER 90 DAYS DURATION. <br />