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� <br /> ��9�' <br /> 07tlx <br /> C H <br /> 9� [n <br /> 4 <br /> K n ./ <br /> H�1 <br /> °�H� I� f ��Y� ��-�- <br /> �7 ,5j — <br /> y F"� �O n Publm Wade Po�m�l• <br /> � ^X. � Dale�1Z-�`z rQSr'(vG` � giag Dent � 37414 <br /> �,�, d Application For _ <br /> pUBLIC WORKS PERMIT —93 PubLCW0�k5Fea S <br /> H� g ,a���F<a <br /> �� � �esf nool.icc Paia 5. <br /> z> H (j Elaiancu�uo $ <br /> 7Li� <br /> r y r Print or Type Only <br /> Ny <br /> Select Homes Inc 237 Elm St Everett ldA 98203 258-1508 ��x��� <br /> g❑d y axx�cx�,xaa�c�cu�xxxxxa�xxuaa��xxgac�x�xxxx x�xxxxaaaxxxxx <br /> 3� L� Mailing Address Gity Z�p Phone <br /> [s1 C+7 Owncr <br /> HOtyi� ....� <br /> SAC2iXXS1S�(t{aIXgRqQAXX85�f.XH6$$X�XtfX'%�Yd{XEdG7t&(cYX%83�{8'$l[RX Phone <br /> Applicant 1 <br /> Mailing Atldress City Z'P �-- <br /> \_ <br /> Descrihe Proposed Work <br /> new house construction <br /> � <br /> tor �6 ��(?7 — ��c2� "lG-LLJ LI�. '... <br /> Pwject Address(il known) — <br /> Altach four(4)copies ol plans lor proposed work- Draw to scale antl note Ihe f.�llowing as apUlicable: � <br /> • Property Lines • Centerline ol sireet <br /> • Indicale North <br /> • Outline and dimensions ol all exis�ing and � Show any proposed gratling chan9es <br /> ��' proposed slrucWres on lhe lol � Show mezsurements M <br /> • Exisling and propoSed ulilities W <br /> DO NOT WRITE BELO\V THIS LINE � <br /> 'i�� <br /> '�' PERMIT CONDITIONS �\ <br /> 1.All calls tor inspeclion shall be made 24 hrs.in advance-phone 259•8810. <br /> � ' 2.All work shall be pedormed in accordance wilh this permit and current City ol Everet!Design and Conslructlon � <br /> � Szndards and Specilications. � <br /> 3.Call�..ocalion Underground Service 48 hrs.betore you dig.TOLL FREE NUMBEH 1•800'424•55 . <br /> f�1 R . Install rocV�. construction entrance be'iind drivew�FubliP`'6Jorils� O <br /> ' ' st�ndard iL21�8 and eroslon contr-ol as directed 6;� <br /> � Inspector. <br /> 5, p;c-ep city streets clean at all t.imes � <br /> � b. Curb gutt.er and sidewalY. .in the plat are new and undamaqed. <br /> '�� anv damaqe thereto shall 6e replaced at the discretion ui the � <br /> � Pu61ic Works Inspector. <br /> 7. Any change in the drivewaY cut must 6e approved by the PW In- O <br /> �' spector. width at prop line limited to existing apron width. <br /> � 8. Connect all roof . yard and driveway drains to storm dr��in � <br /> �� s/stem provided to lot. <br /> 9. Ad�usl- water bo>:es to qrade at end of constructi.on• ,n thein. <br /> �� <br /> li!. DrivewaYs shall he complet�lv cured before drivina <br /> •�I ACKNOWLEDGEMENT OF CONDITIONS <br /> ` � � The undersigned owner/applicant herehy ac�rees to hold and save harm� <br /> less the Cdy of Everett Irom any and all claims lor damages, cosls. <br /> � G1 expenses, or causes o� aclion Ihat may arise because o� installation <br /> �t � //1�� /�q��� and maintenance ot the Improvemenl or other righl�ol-way use herelo <br /> �`� � applieA lor and Wrlhe� agrees �o remove same upon notice irom Ihe <br /> Approved lor Construcli Date Ciry a��l lo.replace pu I c propert dame ed thereby. <br /> , � �' � � <br /> ����c,f� �} ,t � ` � � <br /> v 3-�r-s•3 c��,� � �,� � z z <br /> � Date '� .c.1 • Dr.te <br /> FINALWSPECTION �i naW� ofAPPhcant <br /> %,pnroved us Constructed WOAK AUTHORIZED BY 7HIS PERt.11T MUS7 BE 'TARTED WITHIN <br /> � PUBLICWORKSOEPAFlTMENT 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 320a Cedar Streel BE DILIGENTLY PURSUED TO COh1PLETION.7HIS PEfiM1T MAY BE <br /> E��eretl,NJA 98201 CANCELLED BY THE CITY UFON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�8Bt0 PROJECT OVER 90 DAYS DUPNTION. <br />