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i <br /> � � �' <br /> �� x <br /> �HV� <br /> � /"�t1H � p - �'-Zg-�� > <br /> �' �i Date 7-17-92 1� , P�e���wo�w.Pa,m,u y� <br /> posr� �'�<<� <br /> '�yC?, 3 ��G_7 Z�L�'� amuooa� . A71+.17 <br /> �a�p[�a� A�olication For - <br /> r3 pUgLIC WORKS PERMIT <br /> cuei,c tvo�b Fee 5 <br /> iolal Fee <br /> ~�� Lces vool.Fco Po¢f 5 <br /> n o <br /> a y� Print or Type Only o��:,,,=�o�o s�V�— <br /> t" z <br /> �y y Selec[ Homes Inc 237 Elm St Everett {dA 98703 258-1508 <br /> ty y �f�FY+K�IE&X%257�;f7E1�lEXXXUtXF}iXxDBHXt�ffi2IlS7�7Uir�XXXXXXXX1Cld$7E�IS�7t1pXXX&&&HSXAXKX?�7N87[X!LA7SXA1GX7[ <br /> �� � Owner Mailing Address City 2ip Phone <br /> �z-7 0°Ji� gbk7cx�'�b1��XX$KXi74�lXX�9�4�XX��x�'Y��BY+74KkiX�3�5��'��4 <br /> Applicant Mail��ngAddress City Zip Phone _\ <br /> ,, y <br /> , <br /> Describe Proposed Work new house construction \ <br /> -�0. W <br /> ProiectAddresslilknown) Lot 19 �W Pf��Kvt�� �—� , � <br /> Attach lour 141 copies ol plans lor proposed work- Draw to scale and note�he lollowin9 as applicabie: � <br /> • Property Lines � • Cenledine of sireet /^ <br /> • OulGne and dimensions ol all ezistiny and • Indicale Norlh V� , <br /> proposed structures on the lot • Shov+any proposed gratliny -hanges <br /> • Exisl���S�.and proposed utilities • Show mezsuremenls �A <br /> ' ' DO NOT WPITE BELOW THIS LINE `+�, <br /> 1�' PERMIT CONDITIONS O <br /> '�' t.All calls for inspection chall be made 24 hrs.in advance-phone 259•8810. � <br /> 2.All work shall be pedormed in acc�rdance a ith ihis permit and current Ciry ol Everelt Design and Construclion <br /> Slandards and Specificalions. <br /> 1�' 3.Call Location Underground Service 48 hrs.cefore you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> 4. Install rock constru�ti.on entrance behind dr.iveway as per �it�.� <br /> '�1 standard Qt2U� and erosion control as ciirected by Fublic Wo��Ys O <br /> ' Inspector-. <br /> �� 5, Keep citi streets clean at ail times <br /> ' b. Curb qutter and sidewalk in the plat are new and undamaged, � <br /> an/ a��mage thereto shall be rpplaced at the discretion of the <br /> 1�1 Public WorF;s Insp�ctor. �/� <br /> I 7. Flny change in the drivewa� cut must be �pproved by the F'W In- �/♦ <br /> spector, width at prop li�e limited to existing apron w.idtli. O <br /> ' 1 . 8. Connect all roof, yard and driveway drains to storm drain <br /> 1�' system provided to lot. /� <br /> � 9. Ad,iust waLer bo>:es to qrade at end of construction. L�� <br /> '�� 10. Driveways shall be coinplet.el� cured before drivinq on the�n. <br /> I�I �2� ACKNOWLEDGEMENTOFCONDITIONS <br /> The undersigned owner/applicanl hereby ag�ees to hold an�sa:c h.inn� <br /> less the Gty ol Everetl irom any and all claims lo� damaqes. costs. <br /> �� �//� �_��-� eKpenses. or causes ol action thal may arise because o� �nstallat�on <br /> � ���/ ��� and maintenance ol Ihe improvement or other righl-ol-way usc herelo <br /> applied lor and lurihcr a��ees to remove same upon not�ce Irom tnc <br /> Approved lor Construclion Date City v�d lo repla e publlc pr erty damaged ihereby. <br /> � / / A � <br /> ��T�'�4-t"r-�_ � -2 Y- S�l ��C LC•/ �J'G`, � <br /> PINAL INSPECTION Dalc •���'�� �/��II �/���� � <br /> Approved as Consirucled i9aature I Applicanl Oate <br /> � PUBLICWORKSDEPARTMEN7 HORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 'V� 3200CedarStrcet 180 DAYS OF DA7E PERMIT IS ISSUED AND 7HEREAFTER IS TO <br /> EveretL�7A9�207 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br /> Phone 253�0910 CANCELLED BY THE CITY UPON ANY STOPPAGE OF INORK ON THIS <br /> PROJECT OVER 90 DAVS DURATION. <br />