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Date 3-14-95 '�� �� pOSTING PublicWorkePermiN S .S� � ' . <br /> Application For ��� oao�.+ 47746_ <br /> u <br /> PUBLIC WORKS P�RMlT PUD�icWorknFaB <br /> Tatal Fee s <br /> Q <br /> O Leea ApPI Fee PeiE S <br /> Print or Type Only � ;� � �a � �o o � � � Belanca Due s �` <br /> n_ • ^ . • <br /> cn �� ri � .r' �:r n u:, ri r� r? <br /> p Ci � w � •a� e: ,�i ai �i � ' <br /> Dally Homes 3316 Fuhrman Ave E �'te �� Seai+tle 9��2� 32��170 <br /> Owner Mai4ing Address o•� t� [� s; :L',i�(�cp ^- m � Zip„ Phone � <br /> lrj u C'� S: � � z > Ci W fU iJ � C_t <br /> Gl O C] C.1fI � L) HOF- 03 [11LLI <br /> OWIIBI . � G1 t�i.�i [ii � (�ll G.l � '_'¢�S � (n �A � <br /> @ <br /> Applicant Mailin9 Address City Zip Phone <br /> Describe Proposed Work new house �� <br /> W <br /> ProjectAddress(ifknown� 4001 Kxomer Ave Lot 1 S1lverhawic � <br /> Atlach four(4)copies of plans for proposed work- Draw to scale and note the following as applicable: � <br /> • Property Lines • Centerline of street � <br /> • Outline and dimensions of all existing and • Indicate NoAh <br /> proposed structures on the lot • Show any proposed grading changes <br /> � Existing and proposed utilities • Show measurements � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> t.All calls tor inspect�on sha��be made 2a hrs.�n advance•phone 259�8810. � <br /> 2.All work shall be performed in accordance with tliis permit and current City of Evarett Design and Consiruction <br /> Standards end Specifications. <br /> 3.Call location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> 4. Reep city streets clean at atl times. O <br /> 5. Curb gutter tmd sidewalk u�the plat�ue new anJ undarnagad, wry damage U�ereto shall be replaced at Q�e <br /> discrefion of the Public Works Inspector. <br /> 6. Arrv chsnge in the driveway cut must be approved bV the P\V Inspector,width at prop line IQnited to � <br /> exispng apron width. � <br /> 7. Adjust water boxes to grade at end of conshucHon. <br /> 8. Driveways shalt be completety cured before d�iving on thert!. O <br /> 9. Fooftop drainagc shall bc discharged: <br /> � to the sitds sto[m drain.rystem (private or pubGc) /� <br /> • to a residan6al roof downspout system desig�ed per sec6on 4•9.4 of Ihe cily stariduds `i <br /> • onto splash blocks <br /> I'he method selected will be subject to Yublic Works Depwlement approval. <br /> � ACKNOWIEDGEMENT OF CONDITIONS <br /> The undersigned owner/appllcanl hereUy egrees to hold and save hamr <br /> less the City of Everett Irom any and all claims for damages, costs, <br /> ^���� ����/ expenses, ur causes ot action that may arise 6ecause of insta�lation <br /> Cj and maintenance oF the improvement or other right-of-way use hereto <br /> � applied lor and further agrees to remove same upon notica Irom the <br /> ApGroved to nstru� �e City and to replace public properry damaged thereby. <br /> .�� — �-L • - 5.�' <br /> FINAL INSPECTION Date ^S— ��^ <br /> Approved as Constructed Sig of p licant Date <br /> PUBLIC WORKS DEPARTMENT < AUTHORRED BY THIS PERMIT MUST BE STARTED WITHIN <br /> %� 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> �� Everett,WA98201 BE DILlGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> �v� CANCELLED BY THE CITY UPON ANY STOPFAGE OF WORK ON THIS <br /> Phone:259•8810 PROJECT OVER 90 DAYS DURATION. <br />