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Date 3-14-95 a�m��wo,k:P�,mn. e S / <br /> ApplicalionFor "i�' '��,j�i�U ����—'�� eiaeoeo�.•-47747 <br /> PUBLIC WORKS P.ERMIT P�blicWorksFee <br /> To�al Fee 5 <br /> �-� Lee.p001.Fee Paid 5 <br /> Print or Type Only � � .-:� � �., �, �, r� r..� o e��,�«c.,, s <br /> r.� -. �-r i � r] o r'i ��i <br /> [`- ,3 O O u� O �'� fr. <br /> ' �..: ,n ,., r.i o t� t. . <br /> m e= � •�] Vi <br /> �:`� er ir � r�i <br /> Dally Homes 3316 Fuhrman Ave E Stey100 Seat�`1e 9$102"`328-3770 <br /> Owner Mailing Add:es�� E� �� ^-QiLy o � Zip Phone <br /> .� [r: � O iµt1 M'. (c: l+J � <br /> rj p C1 Li i7 � O V— O 3 u I�-1 <br /> O ..� i_ _I (r' O �i O W } S <br /> Owner �� :ic i i i ol ti� �� Yt 3 � � [f1 �� <br /> P,pplicant Mailing Address City Zip Phone '�� <br /> � ., <br /> Describe Proposed Work new honcr - <br /> _— -- � <br /> Project Address�if known� 3827 Kromer Ave __ Lot 57 Silverhawk � <br /> Attach tow(4)copies of plans for proposed work- Draw to scale and note the following as applicable: � <br /> • Property Lines • GenlerGne ot sireet P^ <br /> • Outline and dimensions of all existing and • Indicate North V� <br /> proposed structures on Ihe lot • Show any proposed grading changes <br /> • Existing and proposed u�ilities • Show measurements � <br /> DO NOT WRITE BELOW THiS LI�E <br /> PERMIT CONDITIONS O <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shail be pedormed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-300•424-5555. � <br /> 1 Keep c�n�streePs cican a� ��II fimrs. O <br /> . i.wb gutter aud ,idewalk ui ihe plal ;uc;udw cwd uud.uu��,zd. ;ury d�una�e Ui�reto shall b� tdplae�d al Ihc <br /> di.=.crelion of the Pub6c 1Vorks L�spector. <br /> e. Aity chanke oi die drivewaV cut �m�st be approved by ihe F'�4' Impector, widtli nt prop 6�ie Iirrun:J lo � <br /> C�7ilIDl,;1�1f0[1 W7�l�l. <br /> ' Adjust water boxes to grade at end ot�constniction. � <br /> 3. Dm�eways s-htill be completcly cured UePore dmim,on iheni. � <br /> ^. P.00Rop drainagc slmll bc dischugcd: <br /> • rv thc sitr,'s storm drain systam (private or public) ^ <br /> ' IG �It511I�11118I IOGPlIUW0i�l0U1 Syslzm �csi��ad per ,eciiuu d•9.a of Ui� cily ,la��dard, 6i <br /> • onto splash blocks <br /> 1'he n�ethoJ selected will bz subject to Yublic Works Dep,ntenreut approv�l. <br /> f�� ACKNOWLEDGEMENT OF CONDITIONS <br /> �� The undersigned owner/applicant hereby agree�lo hold and save harm� <br /> /� less the Gty ol Everetl Irom any and all claims tor damages, costs, <br /> ---��J' / „ ,�,//� exPense�, or causes ol action Ihat may arise hecause of installation <br /> /����•�� y�� %// � �'� �/"' and maintenance of the improvement or other righhobway use hereto <br /> 'nNV�_ _ � applied lor and lurther agrees to remove same upon nolice Irom the <br /> Appruved lor Construction - ��e City and to re) place public property damaged thereby. <br /> ..-j; ��-�_ _ _ �'� �c - i 1 � �/ /�(y� ��J 7�{/ S— / � <br /> PINAL INSPECTION Date � �1//������ " <br /> Approved as Constructed Signa re ol Qpplicant Date <br /> � PUBLIC WORKS OEPARTMENT WO'�lAUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> V�� 3200CetlarStreet i8Q DAYS OF DATE PEFMIT IS ISSUED AND THEREAFTER IS TO <br /> � Everelt,Wl.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 />