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� /. <br /> i <br /> x �w <br /> 8/9/94 T� �'05TING —��—�— N,.,,��.,�,o,�=P�,m,,, _/�f'_z73_ <br /> Date . ., �i5214— — <br /> BW9 Oeo� • — <br /> Application Fo� H? __ <br /> PUBLIC WORKS PE�iMIT �"�'�'cWorksFee S _ <br /> ictal Fee <br /> � Lers Aau� fa.a Fa,� 5 — <br /> � v�i � u�i �u- �d o 0 0 �.,�'^�.r o"° 5��- <br /> Print or Type Only ,"LLa i,; � � o ,r; o r%• m <br /> o � � '^ � � w� i � <br /> � � yy N � CJ <br /> ,n n «� +� <br /> ,., �u ai <br /> n ii�em..a zo�g--�ast�ake-P.ue-���at�l@rs-��-0�v�a��y� Pnn�,�: <br /> Own[�i iAlanmy 4sdr_ss � � �.�5 0 (W� o W p t� <br /> M OU' 'V = Hpl- 03 (n W <br /> M O � G1Uq+ w <br /> p � 2JlNtl1 � � 3 � N (1� 6=] <br /> John Graves ext 206 0 ____ _---- — -�� <br /> qpplicant <br /> M,��I�nq Address City ZiP Pho�o <br /> U� <br /> ___.New_house Basic__118____-__--.--- - - --- <br /> Describe Proposed work _ - <br /> ___.__ _-__-_____.__ �� <br /> ______' _ _..___"_.__--_-- � <br /> Proiect address iit knowm -----3807-Kromer--Ave--.--Lot-53--Siluenhacal�---- � <br /> � <br /> AtleCh�our(4) eoP�es o� PI2nS�a P�oVused Work- D�ae: to cc.ti:. .�no nrde Iha foqGwin,� as aPPI�^ai�lr � <br /> • Property Lines • Centn;6ne of stree� <br /> • Ir•,�iCal•: Norih <br /> • Outline nnd dlmeo ui •�.ot [dl existinq and � �h��., any nr000sed 9radin9 chnnqr�s <br /> proposed stru:tums on th�lo� � gh�w mrasurement; � <br /> • Existina and P�oposed uh�dies <br /> DO NOT WRITE 6[LOW THiS LINE O <br /> PERMIT CONDITIONS ^ <br /> 1.All calls tor inspection shall be made 24 hrs.in advance-phone 259•8810. <br /> 2.All work sliall be peAormed in accordance with this permil and current City ot Everelt Design and Construction � <br /> Standards and Specific+3tions. � <br /> 3.Call Location Underground Service 48 hrs.betore you dig.TOLL FREE NUMBER 1-800-424-5555. <br /> 4, Instnll rock cons;ruct�on entrance behind clriveway as per city stnndard�208 nnd erosion control ns <br /> direc[ed by PuLlic WorL:s Inspecter. o <br /> S. Keep city slreete clean ot�II times. <br /> 6, Cwb g��tter and sidew�lk in�he plat are new and undamaged,nrry damage lhereto shall be replared at <br /> U�e discretion or[he Fublic VJorks L�spector. � <br /> 7. My chenge in tl�e driveway cut must be approved 6y the PW[nspector,width at prop line limited m � <br /> zxisling apron'.�ridth. <br /> R. Adjust water boaes to grade at end oE consWction. O <br /> 9 Driveways sh;dl be c�mFletel,v cm-cd beiore dri�ting on Utem. <br /> 10. kouRop dreinage shail be discha��ged: � <br /> �) to the site'e stom�druin syat.em(�,rivrre or public) <br /> 2) to a residential roof downspout system desiyr�ed per seetion 4-?�l oE tl�e city s[andards <br /> 31 n«���S�I9fi}7 bInCI:S <br /> 11ic rnetliod selectcd will be subject tu FvUlic VJori•s Departement approval. <br /> � ACKNOWIEDGEPdENT Or CONDITIONS <br /> 1hr und�r��qned ov+neN�PP�ic'r.nt hcreby agrees to hold and save harm� <br /> _ --- -- --i iess ;r,e ��ty d Everelt irom anq and�aP daims for tlamagcs. costs. <br /> � eapensr,s. or Causes ol aciion that may ziis� becau�e o� installation <br /> C A���� and namtenance M Ihp imnroaement Or nther right-of-waY use :ierelo <br /> �� I a,^.p�icd for and furiher agrees to remove Same upon no��ce �rom the <br /> qp r ed for Co�njst uctien �=�+��' i O'a and io replaca U�bLc pronP��Y ���mageA ihereby. <br /> ;;�/�.��-- � - � �-y� I � ��3��� <br /> Date I � Date <br /> FINAL INSPECTION � Si� Iwe ol AnPhcant <br /> qpproved as Constructed ��r qK AUTHnRIZED DY THIS PERMIT MUST BE STARTED WITHIH <br /> PUBLICWORKSDEPARTMENT 15.1 DAYS OP DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> ������� 3200CedarStreet I BE DILIGENiLI' PURSUED TO COMPLETION. 7HIS PERMI7 MAV BE <br /> Everett,WA 98201 , C.4NCELLED 6Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone�.259-BFS70 i PRO.IECT OVER 90 DA�S DURATION. <br />