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� � � <br /> H <br /> C H <br /> YHN <br /> H � H /� H � <br /> ° H� h -�-z�� �z �i� <br /> W H 7-17-92 TO ;�I a��ee�wo�karo�mn. _� <br /> y y � Date quplica�ion For �O���IYG emg 000� • 37415 <br /> � P UBLlC WORKS PERMIT Z `93 pu�i¢Ylorbiee g <br /> Tolal Fee <br /> ~^ � � Lesa ApOI Fee Pa�O S� <br /> M/V n <br /> ..� H � BaianreDue 5 l� + <br /> .�., y z Print or Type Only <br /> Hy <br /> gy Select Homes Inc 237 film St Everett idA 98203 258-1508 <br /> d v�'', }�i�cwnn�Hta��i�}t�xxXxxx�Exx74`�acasw5x�avl�`i�`C�xsxsxx`C{��bYJl�Y,�6Kx3a�cJ�}�`9`P1D`PXx7��?`4�}-'��SW� `� <br /> � t" Owner Mailing Address City Zip Phone <br /> h7 <br /> H O t�i� XMi`FlidC}6i:i�'F}��X71:GU9�X75@IX�7UGW�4YlU`PX.'�`G`e�{}[Su'W`EiCXfbl'ib`4'6tN <br /> Applican, Mailin9 Adtlress City Zip Phone � <br /> i � '., <br /> new house construction �.� <br /> Uoscrihe Proposed Work <br /> .� ` W <br /> ProjectAddresslilknown) Lot 17 �S��rv�-Kv�� �-',v � <br /> AUach four(41�opies ol plans 1or proposed work- Draw to scale and note the following as appliwble: � <br /> • Properry Lines • Cenlerline ol street ♦A <br /> • Outline and dimen5ion5 0l all exisling and • Inditate Norih V� <br /> proposed structures on the lot • Show any proposed grading changes <br /> •�' • Existing and proposed utilities • Show mezsuremeNs M <br /> ' ' DO�JOT WRITE BELOW THIS LINE � <br /> � <br /> PERMITCOPlDITIONS <br /> '�1 t.All calls for inspec�ion shall 6e made 24 hrs.in advance-phone 259-8810. � <br /> ' ' 2.All work shall be pertormed in accordance with this permit and wrrenl City of Eveiett Design and Construction <br /> Standards and Specifications. <br /> � 3.Call Location Underground Service 40 hrs.belore you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> f�' 4. Install roc4�. construr_tion en}rance behi.nd driveway as• P�r- �lt.v <br /> standard #t20d and erosion eontrol a- di.reci:ed by Public lJur4�.s O <br /> 1 � Inspector. <br /> � S, Keep city streets clean at all tirnes <br /> '� b. Curb gutte� and sidewslY, in the plat are new and undamaqed . � <br /> � an/ damage thereto shall be replaced at the discretion of the <br /> ' Fublic Works Inspecl-or. ♦^ <br /> � 7, An/ change in the dr.iveway cut must be approved by the F4J In- �// <br /> '� spector, width at prop line limited to e::istinq apr-on w�dCl�i. O <br /> '�' 8. Connect. all roof, yard and driveway drains to storm dr<.�i.n <br /> � <br /> svstem pravided to lot. a <br /> 9. Ad�ust watzr bo::es to grade at end of construc �.�n . <br /> �' 10. Drivewa/e sha' I b�. completely cured be'fore di�iving on i-i�em. <br /> � <br /> �� � ACKNOWLEUGEMENT OF CONDITIONS <br /> '� _ The undersigned owner/app�cant hereby agrees to holA and save harm- <br /> less the Clly ol Everett Iron any and all claims lor damages, cosls. <br /> �e`��/_ �Je� expenses. or causes of action thal may arise because ol inslallation <br /> j j C�� /4'�� and maintenance ol the imp•ovement or other righDo4way use hcreto <br /> applied lor and further a9rees lo remove same upon notice Irom Ihc <br /> Approved lor Cons ru lion /� Date City and to�ep�ace public proPerry damaged lhereby. <br /> � <br /> `���./' S3 ' ' /� ; ��: . . . ._ . _ <br /> 3- ir• � ,... ,. c - /�i��, �-.,�_< <—•,- <br /> FINAL INSPECTION ���� .- Dale <br /> 4pprovetl as Constructed Signature nl Apphcant <br /> /'��� l 'WORK AUTHORIZED BY THIS PERMIT MUST BE STAR7ED WITHIN <br /> _r FUBLICWORKSDEPARTMENT 180 DAYS OF OATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> �v 3200 Cedar Streot BE DIUGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> �`n Everett.WA98201 CANCELLED BY TF!E CI7Y UPON ANY STOPPAGE OF WORK ON THIS <br /> P h o n c 2 5 9�8 8 1 0 P R O J E C T O V E R 9 0 D A Y S D U R A i I O N. <br />